Campbell L M, Howie J G, Murray T S
West of Scotland Committee for Postgraduate Medical Education, University of Glasgow.
Br J Gen Pract. 1993 Oct;43(375):430-4.
In the autumn of 1991 the Committee in General Practice of the west of Scotland region appointed a working party to investigate the possibility of developing a credible, valid and reliable programme of summative assessment for general practitioner trainees. The working group formulated a four-part package consisting of a multiple true-false paper, a trainee audit project, the trainers' judgement, and analysis of videotaped consultations. The reasons for the use of this selection of methods are discussed. It is suggested that a summative assessment process for trainees should make use of the trainers' considerable knowledge of the trainee, have an external component, be criterion referenced, have an element of continuous assessment, and involve direct assessment of clinical competence. A pilot study of assessment of clinical competence using videotapes of routine trainee consultations by 25 volunteer general practitioner assessors is described. A rating instrument for use in differentiating the competent from the not yet competent trainee is discussed. The working group and the group of videotape assessors came to the provisional conclusion that the use of videotaped consultations may be a valid and feasible method of assessing the competence of general practitioner trainees as part of a balanced summative assessment programme.
1991年秋，苏格兰西部地区全科医疗委员会任命了一个工作小组，以调查为全科医生培训生制定一个可信、有效且可靠的总结性评估方案的可能性。该工作小组制定了一个由四部分组成的方案，包括一份多选项是非题试卷、一个培训生审核项目、培训师的评判以及对录像诊疗的分析。文中讨论了选用这些方法的原因。文中指出，针对培训生的总结性评估过程应利用培训师对培训生的丰富了解，包含一个外部组成部分，以标准为参照，具备持续评估的要素，并涉及对临床能力的直接评估。本文描述了一项由25名志愿全科医生评估员对培训生常规诊疗录像进行临床能力评估的试点研究。文中还讨论了一种用于区分合格培训生和尚未合格培训生的评分工具。工作小组和录像评估员小组得出初步结论，作为平衡的总结性评估方案的一部分，使用录像诊疗可能是评估全科医生培训生能力的一种有效且可行的方法。
