六位教员在识别客观结构化临床考试重要项目方面的可靠性。
The reliability of six faculty members in identifying important OSCE items.
作者信息
Valentino J, Donnelly M B, Sloan D A, Schwartz R W, Haydon R C
机构信息
Department of Surgery, University of Kentucky College of Medicine, Lexington, USA.
出版信息
Acad Med. 1998 Feb;73(2):204-5. doi: 10.1097/00001888-199802000-00022.
PURPOSE
To measure the agreement among faculty members about the importance of items on a checklist used to grade an objective structured clinical examination (OSCE) station.
METHODS
Six faculty members rated the importance of 47 items for an OSCE station in which students took the history of a patient with sore throat and hoarseness.
RESULTS
Of the 47 items, the raters independently identified 15 items as very important. The reliability of each individual rater was fair (averaged value of alpha = .63.) The reliability of the mean rating of the six raters was high (alpha = .91).
CONCLUSIONS
The results strongly suggest that when a group of faculty members cooperatively identifies the important items to be included in an OSCE checklist, the reliability of the checklist is superior to one created by a single author.
目的
评估教员之间对于用于给客观结构化临床考试（OSCE）站点评分的检查表上各项内容重要性的一致性。
方法
六位教员对一个OSCE站点的47项内容的重要性进行评分，在该站点学生需采集一名咽痛和声音嘶哑患者的病史。
结果
在47项内容中，评分者独立确定15项为非常重要。每位评分者的信度一般（α平均值 = 0.63）。六位评分者平均评分的信度较高（α = 0.91）。
结论
结果有力地表明，当一组教员合作确定OSCE检查表中应包含的重要项目时，检查表的信度优于由单一作者编制的检查表。
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