Validation of the Fresno test of competence in evidence based medicine
Validation of the Fresno test of competence in evidence based medicine
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DOI：
10.1136/bmj.326.7384.319
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发表时间：
2003-02-08
影响因子：
--
通讯作者：
Tracz, SM
中科院分区：
文献类型：
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作者：
Ramos, KD;Schafer, S;Tracz, SM
目的描述循证医学知识和技能测试的发展和验证.设计横断面研究.设置在加州的家庭实践住院医师计划;为那些教循证医学的人提供列表服务器;和循证医学研讨会系列.参与者家庭实践住院医师和教职员工（n=43）;志愿者自认为是循证医学专家（n=53）;家庭医生教师（19）开始循证医学系列研讨会。干预弗雷斯诺测试是一种用于医学教育的基于绩效的测量方法，用于评估广泛的循证医学技能。开放式问题采用标准化评分规则进行评分。计算技能通过填空题进行评估，主要测量评分者间信度、内部信度、项目分析和结构效度。Cronbach’s α为0.88，题目难度从中等到困难不等，均具有较强的辨别能力。专家的得分始终高于新手。在212分测验中，新手平均分为95.6分，专家平均分为147.5分（P
Objective To describe the development and validation of a test of knowledge and skills in evidence based medicine.Design Cross sectional study.Setting Family practice residency programme in California; a list server for those who teach evidence based medicine; and an evidence based medicine seminar series.Participants Family practice residents and faculty members (n=43); volunteers self identified as experts in evidence based medicine (n=53); family practice teachers (19) beginning a seminar series on evidence based medicine.Intervention The Fresno test is a performance based measure for use in medical education that assesses a wide range of evidence based medicine skills. Open ended questions are scored with standardised grading rubrics. Calculation skills are assessed by fill in the blank questions.Main outcome measures Inter-rater reliability, internal reliability, item analyses, and construct validity.Results Inter-rater correlations ranged from 0.76 to 0.98 for individual items. Cronbach's alpha was 0.88, Item difficulties ranged from moderate to difficult, all with positive and strong ability to discriminate between candidates. Experts scored consistently higher than novices. On the 212 point test, the novice mean was 95.6 and the expert mean was 147.5 (P