McDermott J F, Streltzer J, Lum K Y, Nordquist C R, Danko G
Department of Psychiatry, University of Hawaii School of Medicine, Honolulu 96826, USA.
Am J Psychiatry. 1996 Aug;153(8):1097-9. doi: 10.1176/ajp.153.8.1097.
The purpose of this study was to identify specific competencies that differentiated passing from failing performance on the American Board of Psychiatry and Neurology Part II oral board certification examination.
A total of 363 candidates were rated in 18 areas of competence defined by behavioral criteria. Data were analyzed to determine which areas best discriminated between passing and failing candidates.
In both parts of the examination, the ability to develop a comprehensive treatment plan was most influential. After that, specific interview and observational skills discriminated best. Failing candidates had most difficulty detecting and following informational and affective cues in their interview of a patient and presenting a biopsychosocial formulation and comprehensive treatment plan.
Specific candidate competencies related to passing and failing performances can be identified and assessed by a rating scale of observable behaviors on the board certification examination in psychiatry.
本研究旨在确定美国精神病学与神经病学委员会第二部分口试认证考试中区分通过与未通过表现的特定能力。
共有363名考生在由行为标准定义的18个能力领域接受评分。对数据进行分析，以确定哪些领域最能区分通过和未通过的考生。
在考试的两个部分中，制定全面治疗计划的能力最具影响力。其次，特定的面试和观察技巧区分效果最佳。未通过的考生在对患者进行面试时，最难察觉并遵循信息和情感线索，以及提出生物心理社会诊断和全面治疗计划。
在精神病学委员会认证考试中，可通过可观察行为的评分量表识别和评估与通过和未通过表现相关的特定考生能力。
