Singer P A, Robb A, Cohen R, Norman G, Turnbull J
Department of Medicine, University of Toronto, Ontario, Canada.
J Gen Intern Med. 1994 Dec;9(12):690-2. doi: 10.1007/BF02599011.
The purpose of this study was to evaluate a six-station ethics objective structured clinical examination (OSCE) on a volunteer sample of 66 medical students and 33 residents from three Ontario medical schools. The internal consistency reliability was 0.46 and the median interrater reliability was 0.675 (range 0.30 to 0.89). The residents' scores were higher than those of the medical students (F = 2.24, 0.046). Also, the scores differed among the three schools (F = 3.19, p = 0.0004). The ethics OSCE has adequate interrater reliability and construct validity, but low internal consistency reliability. There are differences among the schools that may assist in ethics curriculum evaluation and development.
本研究的目的是对来自安大略省三所医学院的66名医科学生和33名住院医师的志愿者样本进行一项六站式伦理客观结构化临床考试（OSCE）评估。内部一致性信度为0.46，评分者间信度中位数为0.675（范围为0.30至0.89）。住院医师的得分高于医科学生（F = 2.24，P = 0.046）。此外，三所学校之间的得分也存在差异（F = 3.19，P = 0.0004）。伦理OSCE具有足够的评分者间信度和结构效度，但内部一致性信度较低。学校之间存在的差异可能有助于伦理课程的评估和发展。
