Examining the generalizability of ratings across clerkships using a clinical evaluation form
Examining the generalizability of ratings across clerkships using a clinical evaluation form
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DOI：
10.1177/01632780122034768
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发表时间：
2001-03-01
影响因子：
2.9
通讯作者：
Ferguson, KJ
中科院分区：
文献类型：
--
作者：
Kreiter, CD;Ferguson, KJ
有必要对多个临床评估表 (CEF) 观察结果进行平均以获得可靠的评分。结合不同实习生的 CEF 观察结果将为每个学生提供更多观察结果，但目前尚不清楚跨实习生的概括如何影响可靠性。作者对平衡分层随机样本进行了普遍性研究，以检验不同职员平均的影响。该研究通过职员互动发现了一名学生。尽管交互作用幅度很小，但对平均分数的可靠性有很大的负面影响。作者得出的结论是，为了评估全球临床技能而对不同实习生进行平均，对于固定数量的观察结果而言，其可靠性会低于在实习生内计算出的用于评估实习生特定技能的平均值。 CEF 测量的临床技能内容特异性可能与使用其他测量方法发现的相似。
It is necessary to average multiple clinical evaluation form (CEF) observations to obtain a reliable score. Combining CEF observations across clerkships will provide more observations per student, bur it is unknown how an across-clerkship generalization affects reliability. The authors conducted generalizability studies on balanced stratified random samples to examine the impact of averaging across clerkships. The study detected a student by clerkship interaction. Although the interaction magnitude was small, it had a large negative impact on the reliability of the mean score. The authors conclude that averaging across clerkships for the purpose of evaluating global clinical skills will produce a less reliable measure for a fixed number of observations than averages calculated within a clerkship for evaluating clerkship specific skills. The content specificity of clinical skills as measured by the CEF may resemble that found using other measurement methods.