Tracey J M, Arroll B, Richmond D E, Barham P M
Goodfellow Unit, Faculty of Medicine and Health Science, University of Auckland, New Zealand.
BMJ. 1997 Nov 29;315(7120):1426-8. doi: 10.1136/bmj.315.7120.1426.
To determine whether general practitioners can make accurate self assessments of their knowledge in specific areas.
67 general practitioners completed a self assessment of their level of knowledge over a variety of topics using a nine point semantic differential scale. An objective assessment of their knowledge was then made by administering true-false tests on two of the topics: thyroid disorders and non-insulin dependent diabetes. The study was repeated with another group of 60 general practitioners, using sexually transmitted diseases as the topic.
General practices in New Zealand.
Random sample of 67 general practitioners in Auckland.
Test scores for self assessment and for actual knowledge.
Correlations between self assessments and test scores were poor for all three topics studied (r = 0.19 for thyroid disorders, 0.21 for non-insulin dependent diabetes, 0.19 for sexually transmitted diseases).
As general practitioners cannot accurately assess their own level of knowledge on a given topic, professional development programmes that rely on the doctors' self perceptions to assess their needs are likely to be seriously flawed.
确定全科医生是否能够准确自我评估他们在特定领域的知识。
67名全科医生使用九点语义差异量表对各种主题的知识水平进行了自我评估。然后通过对其中两个主题（甲状腺疾病和非胰岛素依赖型糖尿病）进行真假测试，对他们的知识进行客观评估。另一组60名全科医生重复了这项研究，使用性传播疾病作为主题。
新西兰的全科诊所。
奥克兰67名全科医生的随机样本。
自我评估和实际知识的测试分数。
在所研究的所有三个主题中，自我评估与测试分数之间的相关性都很差（甲状腺疾病r = 0.19，非胰岛素依赖型糖尿病r = 0.21，性传播疾病r = 0.19）。
由于全科医生无法准确评估自己在给定主题上的知识水平，依赖医生自我认知来评估其需求的专业发展计划可能存在严重缺陷。
