ASSESSING PRACTICING PHYSICIANS IN 2 SETTINGS USING STANDARDIZED PATIENTS
ASSESSING PRACTICING PHYSICIANS IN 2 SETTINGS USING STANDARDIZED PATIENTS
复制标题
DOI：
10.1097/00001888-199210000-00026
复制
发表时间：
1992-10-01
影响因子：
7.4
通讯作者：
GROTT, M
中科院分区：
文献类型：
--
作者：
KOPELOW, ML;SCHNABL, GK;GROTT, M
方法设计。这项研究是基于随机、盲法、交叉设计。三分之一的医生为评估中使用的病例设定了标准，后来看到SP在他们的执业中描绘了这些病例。另外三分之一的医生首先在执业(表现)中看到SP病例，然后在MSE(能力)中看到SP病例，而最后三分之一的医生看到SP病例的顺序相反。最初的计划是，标准制定小组将包括内科专家和家庭医生。因此，136名家庭医生(FP)和48名内科医生被选为潜在参与者，他们中的大多数是当地医学院的全职或兼职教师，他们也有社区实践。63名医生(49名初级医生和14名内科医生)对志愿者的邮寄请求做出了肯定的答复。然后，FP应答者被随机分成一组。第一组医生成为标准制定者。第二组医生进行了检查，后来在他们的执业(检查-实习)中看到了SP。第三组医生首先在实习中看到SPS，然后在考试设置(练习-考试)中看到SPS。所有的内科医生都被安排在标准制定组。在随机将医生分配到小组后，几个
MethodDesign. The study was based on a randomized, blinded, crossover design. One third of the physicians set standards for the cases used in the evaluation and later saw SPs portraying these cases in their practices. Another third of the physicians saw the SP cases first in their practices (performance) and later in the MSE (competence), while the last third saw the SP cases in the reverse order.Physician Participants. Originally, it was planned that the standard-setting group would include internal medicine specialists as well as family physicians. Therefore, 136 family physicians (FPs) and 48 internists, the majority of whom were full-or part-time faculty of the local medical school and who also had community practices, were selected as potential participants. Sixty-three physicians (49 FPs and 14 internists) replied affirmatively to a mail request for volunteers. The FP responders were then randomized into one of the groups. Group 1 physicians became the standard setters. Group 2 physicians undertook the examination and later saw the SPs in their practices (exam-practice). Group 3 physicians saw the SPs first in their practices and later in the exam setting (practice-exam). All of the internists were placed in the standard-setting group. After the random assignment of the physicians to groups, several of