Trainee doctors' views on workplace-based assessments: Are they just a tick box exercise?
Trainee doctors' views on workplace-based assessments: Are they just a tick box exercise?
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DOI：
10.3109/0142159x.2011.558140
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发表时间：
2011-01-01
期刊：
影响因子：
4.7
通讯作者：
Goodyear, Helen M.
中科院分区：
文献类型：
--
作者：
Bindal, Taruna;Wall, David;Goodyear, Helen M.
背景资料：在2007年8月，通过专业培训和工作场所为基础的评估（WBA）介绍了英国初级doctors.Aim：本研究探讨WBA是否已成功地融入儿科培训programmes.Method：一个20项问卷调查分发给区域儿科学员。该研究的可靠性良好（Cronbach's alpha 0.813）; 92%（119/130）的受训者知道如何进行WBA（在六点Likert量表上得分>= 4）。然而，他们对WBA是否真实反映其能力持矛盾态度（平均Likert评分为3.46）。一个常见的问题是发现评估员与40%的受训人员说，工作人员拒绝做评估。几乎一半的评估是回顾性的。受训者确实收到了反馈，但并不总是给出关于未来改进的建议（最高平均Likert评分4.00）。自由文本的评论分析主要集中在困难，让WBAs doneed.Conclusions：一个文化的变化是需要学员觉得，WBAs不只是一个勾选框练习，但一个有用的教育工具学习。正在进行的执行工作需要包括额外的培训，特别是关于WBA对形成性评估的价值以及顾问在其工作计划中保护培训时间的培训。
Background: In August 2007, run-through specialty training and workplace-based assessments (WBAs) were introduced for UK junior doctors.Aim: This study explores whether WBAs have been successfully integrated into paediatric training programmes.Method: A 20-item questionnaire was distributed to regional paediatric trainees.Results: Eighty seven per cent (130/150) trainees responded. Reliability of the study was good (Cronbach's alpha 0.813); 92% (119/130) trainees knew how to conduct WBAs (scoring >= 4 on the six-point Likert scale). However, they were ambivalent about WBAs being a true reflection of their capabilities (mean Likert score 3.46). A common problem was finding assessors with 40% of trainees stating that staff had refused to do assessments. Almost half of the assessments were done retrospectively. Trainees did receive feedback but advice on future improvement was not always given (highest mean Likert score 4.00). Free text comments analysis mostly centred on difficulties in getting WBAs done.Conclusions: A cultural change is needed for trainees to feel that WBAs are not just a tick box exercise, but a useful educational tool for learning. Ongoing work on implementation needs to include additional training, especially on the value of WBAs for formative assessment and consultants having protected time in their job plans for training.