Improving in-training evaluation programs
Improving in-training evaluation programs
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DOI：
10.1046/j.1525-1497.1998.00097.x
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发表时间：
1998-05-01
影响因子：
5.7
通讯作者：
MacFadyen, J
中科院分区：
文献类型：
--
作者：
Turnbull, J;Gray, J;MacFadyen, J
培训中评估（ITE）是在特定的培训期间观察和系统记录学员在真实的临床环境中的持续表现的过程。临床表现（学习者做什么）部分是能力（学习者知道什么）的结果，但也受到其他变量的影响。1-3培训期间评价可包括能力评估，如知识或技能的获得和发展。它还包括对这些能力所产生的绩效行为的评估。4-8在临床培训期间应该发展和成熟的行为，如专业精神，在临床互动期间进行最适当的评估。9基于能力的客观评估方法应被视为任何培训评估系统的一部分，包括书面考试、使用标准化患者的客观结构化临床考试（OSCE）、正式或结构化口腔考试以及图表刺激回忆评估。10基于绩效的培训评估方法包括将标准化患者引入日常临床活动、录像患者接触、图表审查、日志和用于记录观察到的行为的评级表。大多数用于评估居民的技术本质上是定量的，但定性评估（如现场记录）也很有价值。10
In-training evaluation (ITE) is the process of observing and systematically documenting the ongoing performance of a learner in real clinical settings during a specific period of training. Clinical performance (what the learner does) is in part a consequence of competency (what the learner knows) but is also influenced by other variables. 1–3 In-training evaluation may include the assessment of competencies, such as knowledge or the acquisition and development of skills. It also includes the assessment of performance behaviors resulting from these competencies. 4–8 Behaviors that should develop and mature during clinical training, such as professionalism, are most appropriately evaluated during clinical interactions. 9Objective competency-based assessment methods should be considered as part of any system of in-training evaluation and include written examinations, objective structured clinical examinations (OSCEs) using standardized patients, formal or structured oral examinations, and chart-stimulated recall assessment. 10 Performance-based methods of in-training assessment include the introduction of standardized patients into daily clinical activity, videotaped patient encounters, chart review, log books, and rating forms used to document observed behaviors. Most techniques used in evaluating residents are quantitative in nature, but qualitative evaluations (such as field notes) are also of value. 10