Campbell L M, Murray T S
West of Scotland Postgraduate Medical Education Board, Glasgow, UK.
Med Educ. 1996 Jan;30(1):60-64. doi: 10.1111/j.1365-2923.1996.tb00719.x.
A series of questionnaires was used to determine the amount of formative assessment going on within the est of Scotland Region of the UK and its perceived value by trainees (General Practice [GP] Registrars) both at the beginning and end of training. The first survey was carried out in 1989 and the second in 1994. Trainers and course organizers were surveyed in 1994 to determine their attitudes to the use of videotaped consultations for formative assessment. In 1991, the region had initiated a mandatory formative assessment programme which included regular use of videotaped consultations, confidence rating scales and Manchester ratings (RCGP Occasional Paper Number 40). The use of a range of assessment methods for formative assessment of GP Registrars increased considerably between 1989 and 1994. The percentage of trainees using videotaped consultation analysis increased from 76 to 94%, for Manchester ratings from 52 to 68% and for confidence rating scales from 63 to 74%. Video and confidence scales were rated highly by trainees who were assessed by them and by most trainees at the start of the year, but less highly by those who had not been assessed by them by the end of the trainee year. Manchester ratings were not thought to be as useful, and for these there was no difference between users and non-users. Despite the mandatory system, a significant number of trainees (76%) were still not receiving the minimum assessment stipulated. Trainers rated lack of time as the main limiting factor to the greater use of video. We conclude that trainees who are exposed to assessment methods, particularly video, find it useful, but that some trainees are still receiving less than is optimal. We propose increased trainer education and intensified monitoring of the assessment carried out in training Practices.
通过一系列问卷调查来确定在英国苏格兰地区开展的形成性评估的数量，以及培训学员（全科医生注册实习生）在培训开始和结束时对其感知到的价值。第一次调查于1989年进行，第二次于1994年进行。1994年对培训师和课程组织者进行了调查，以确定他们对使用录像会诊进行形成性评估的态度。1991年，该地区启动了一项强制性的形成性评估计划，其中包括定期使用录像会诊、信心评级量表和曼彻斯特评级（皇家全科医师学院不定期论文第40号）。1989年至1994年间，用于全科医生注册实习生形成性评估的一系列评估方法的使用显著增加。使用录像会诊分析的学员比例从76%增至94%，使用曼彻斯特评级的比例从52%增至68%，使用信心评级量表的比例从63%增至74%。录像和信心量表在接受其评估的学员以及年初的大多数学员中得到高度评价，但在实习年度结束时未接受其评估的学员中评价较低。曼彻斯特评级被认为没那么有用，使用和未使用的学员之间没有差异。尽管有强制制度，但仍有相当数量的学员（76%）未接受规定的最低限度评估。培训师将时间不足视为更多使用录像的主要限制因素。我们得出结论，接触评估方法尤其是录像的学员认为其有用，但仍有一些学员得到的评估未达最佳水平。我们建议加强对培训师的教育，并加强对培训实践中进行的评估的监督。
