Holmboe E S, Hawkins R E
Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, Connecticut, USA.
Ann Intern Med. 1998 Jul 1;129(1):42-8. doi: 10.7326/0003-4819-129-1-199807010-00011.
This paper reviews methods commonly used to assess the clinical competence of residents in internal medicine, including the In-Training Examination, medical record audits, rating scales, clinical evaluation exercises, and the use of standardized patients. Studies were identified through a MEDLINE search (1966 to present) and from the bibliographies of relevant articles and were selected for inclusion according to consensus between the authors. Whenever possible, original studies were chosen over reviews and editorials. No single assessment method can successfully evaluate the clinical competence of residents in internal medicine, and educators need to be cognizant of the most appropriate applications and the advantages and disadvantages of the available evaluation tools. A combination of assessment tools provides the best opportunity to evaluate and educate physicians-in-training.
本文回顾了评估内科住院医师临床能力的常用方法，包括培训期间考试、病历审核、评定量表、临床评估练习以及标准化病人的使用。通过医学文献数据库（MEDLINE，1966年至今）检索以及相关文章的参考文献确定了研究，并根据作者间的共识选择纳入研究。只要有可能，优先选择原始研究而非综述和社论。没有单一的评估方法能够成功评估内科住院医师的临床能力，教育工作者需要了解现有评估工具的最合适应用及其优缺点。综合使用评估工具为评估和培养住院医师提供了最佳机会。
