Lough J R, McKay J, Murray T S
Department of Postgraduate Medical Education, University of Glasgow.
Br J Gen Pract. 1995 Nov;45(400):607-9.
1996 will see the introduction of summative assessment of general practitioner registrars (trainees). One part of this assessment is the written submission of practical work. In the west of Scotland, audit projects have been chosen as the format for practical work. A valid and reliable marking schedule for such projects is needed.
A study was undertaken to develop a criterion-referenced marking schedule for assessing registrars' audit projects for summative assessment.
Medical and non-medical professionals, in a series of workshops, compiled a list of essential elements of good audit. These features were tested and refined using registrars' audit projects. All trainers in the west of Scotland were then sent a list of 14 criteria and asked to indicate whether each criterion was an essential or desirable component of a registrar's audit project for summative assessment. A final workshop was held to develop an audit marking schedule.
Of 155 trainers in the west of Scotland, 135 replied to the list of criteria for registrar audit projects (87%). Ten criteria were deemed essential or desirable by 80% or more of the respondents. Participants in the final workshop selected five criteria which would form the audit project marking schedule for registrars undergoing summative assessment. These were: defined reason for choice of audit project, relevance of criteria chosen, appropriate preparation and planning, appropriate interpretation of relevant data and detailed proposals for change. For an audit project to pass assessment all five criteria must be present.
A criterion-referenced approach to assessing registrars' audit projects, developed from their trainers' opinions of essential or desirable criteria for good audit, is described. Further evaluation of the criterion-referenced marking schedule is required.
1996年将引入对全科医生注册实习生（受训人员）的总结性评估。该评估的一部分是提交实践工作的书面材料。在苏格兰西部，审核项目已被选为实践工作的形式。需要一个针对此类项目的有效且可靠的评分表。
开展一项研究，以制定一个基于标准的评分表，用于评估注册实习生的审核项目以进行总结性评估。
医学和非医学专业人员在一系列研讨会上编制了一份优质审核的基本要素清单。这些特征通过注册实习生的审核项目进行了测试和完善。然后向苏格兰西部的所有培训师发送了一份包含14条标准的清单，并要求他们指出每条标准是否是注册实习生总结性评估审核项目的必要或理想组成部分。最后举办了一次研讨会以制定审核评分表。
在苏格兰西部的155名培训师中，有135人回复了注册实习生审核项目的标准清单（87%）。80%或更多的受访者认为十条标准是必要或理想的。最后一次研讨会的参与者选择了五条标准，这些标准将构成接受总结性评估的注册实习生审核项目的评分表。它们是：审核项目选择的明确理由、所选标准的相关性、适当的准备和规划、对相关数据的适当解读以及详细的改进建议。一个审核项目要通过评估，所有五条标准都必须具备。
描述了一种基于标准的方法，用于评估注册实习生的审核项目，该方法是根据培训师对优质审核的必要或理想标准的意见制定的。需要对基于标准的评分表进行进一步评估。
