Jacques A, Sindon A, Bourque A, Bordage G, Ferland J J
Division of Continuing Medical Education, Collège des médecins du Québec.
Can Fam Physician. 1995 Aug;41:1346-52.
To design and test a structured oral interview that would elicit information on the educational needs of physicians in order to help them plan individualized continuing education.
Seven different sets of problems were prepared, each including 40 cases, of which 26 are common. Each pilot test candidate was interviewed by two physician-interviewers during a 1-day session. After each answer, candidates were told the predetermined correct answer.
Six candidates were selected at random from among Montreal physicians aged 50 and older with no hospital privileges. All had to have no history of professional complaints or prosecution and to be unknown to the interviewers.
Inter-rater reliability and perceived difficulty of the cases.
Candidates rated the interview process and cases used pertinent, credible, and not too difficult. Candidates' performance level was about 50%. Agreement between interviewers averaged 91.2%.
A structured oral interview appears to be a credible instrument for helping determine practising physicians' deficiencies in clinical knowledge and reasoning.
设计并测试一种结构化口试，以获取医生教育需求方面的信息，从而帮助他们规划个性化的继续教育。
准备了七组不同的问题，每组包含40个病例，其中26个是常见病例。每位参与预测试的候选人在为期1天的测试过程中接受两名医生面试官的面试。每个答案回答后，会告知候选人预先确定的正确答案。
从蒙特利尔50岁及以上且无医院执业资格的医生中随机挑选6名候选人。所有候选人都不能有专业投诉或被起诉的历史，且面试官不认识他们。
评分者间信度和病例的感知难度。
候选人认为面试过程和所使用的病例相关、可信且难度适中。候选人的表现水平约为50%。面试官之间的一致性平均为91.2%。
结构化口试似乎是一种可靠的工具，有助于确定执业医生在临床知识和推理方面的不足。
