Jansen J J, Tan L H, van der Vleuten C P, van Luijk S J, Rethans J J, Grol R P
Centre for Research in Quality Assurance in General Practice, University of Nijmegen, The Netherlands.
Med Educ. 1995 May;29(3):247-53. doi: 10.1111/j.1365-2923.1995.tb02839.x.
Technical clinical procedures constitute an important part of the work of general practitioners. Assessment of competence in the relevant skills is important from the perspective of quality assurance. In this study, the psychometric characteristics of three different methods for assessment of competence in technical clinical skills in general practice were evaluated. A performance-based test (8 stations), a written knowledge test of skills (125 items) and a self-assessment questionnaire (41 items) on technical clinical skills were administered to 49 GPs and 47 trainees in general practice. The mean scores on the performance-based test and the written knowledge test of skills showed no substantial differences between GPs and trainees, whereas the GPs scored higher on the self-assessment questionnaire. While the correlation of the score on the knowledge test of skills with the score on the performance-based test was moderately high, the score on the self-assessment questionnaire showed a rather low correlation with the performance-based test. Although performance-based testing is obviously the best method to assess proficiency in hands-on skills, a written test can serve as a reasonable alternative, particularly for screening and research purposes.
技术临床操作是全科医生工作的重要组成部分。从质量保证的角度来看，评估相关技能的能力很重要。在本研究中，对三种不同的全科医疗技术临床技能能力评估方法的心理测量学特征进行了评估。对49名全科医生和47名全科医疗实习生进行了基于表现的测试（8个站点）、技能书面知识测试（125项）和技术临床技能自我评估问卷（41项）。基于表现的测试和技能书面知识测试的平均得分在全科医生和实习生之间没有显著差异，而全科医生在自我评估问卷上的得分更高。虽然技能知识测试的分数与基于表现的测试的分数之间的相关性中等偏高，但自我评估问卷的分数与基于表现的测试的相关性相当低。尽管基于表现的测试显然是评估实践技能熟练程度的最佳方法，但书面测试可以作为一种合理的替代方法，特别是用于筛查和研究目的。
