Evaluating evidence-based medicine skills during a performance-based examination
Evaluating evidence-based medicine skills during a performance-based examination
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DOI：
10.1097/00001888-200403000-00016
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发表时间：
2004-03-01
影响因子：
7.4
通讯作者：
Watson, RT
中科院分区：
文献类型：
--
作者：
Davidson, RA;Duerson, M;Watson, RT
目的.在基于绩效的考试（PBE）的背景下，测量学生在循证医学（EBM）技能[使用已发表文献（内容）的证据进行临床决策和向患者传递临床信息（沟通）]方面的能力。2002- 2003年，在成绩考试监督委员会的指导下，为一对三年级的成绩考试编制了16个循证医学查询。在PBE的最后一站，该站的标准化患者（SP）询问与他们的“疾病过程”相关的临床循证医学问题。“学生被要求开发一个适当的临床问题，执行Medline搜索适当的文章，批判性地评价一个完整的选定的文章，得出结论，他们的问题，并将信息传输到SP。每个学生的临床问题，搜索词，选定的文章，并由教师问题作家，临床图书馆员，循证医学课程主任使用五点李克特量表，其中1为表现不佳，5为表现上级。SP使用检查表评估沟通技能。学生的表现非常好，每个领域的平均数为3.7至4.0。课程主任和电台开发人员之间的协议很好。75%的学生进行了充分的Medline搜索。学生在四项沟通技巧上的平均表现均超过93%。循证医学技能的评估可以在基于绩效的考试中进行。结果可以帮助发展学生的技能和指导课程的努力。
Purpose. To measure students' competencies in evidence-based medicine (EBM) skills [clinical decision making using evidence from published literature (content) and in transmitting clinical information to patients (communication)] within the context of a performance-based examination (PBE).Method. In 2002-03, under the direction of a Performance-Based Examination Oversight Committee, 16 EBM queries were developed for a pair of third-year PBEs. At the last station of the PBE, the standardized patient (SP) for that station asked a clinical EBM question relating to their "disease process." Students were asked to develop an appropriate clinical question, perform a Medline search for appropriate articles, critically appraise a complete selected article, reach a conclusion to their question, and transmit the information to the SP. Each student's clinical question, search terms, selected articles, and rationale were evaluated by faculty question-writers, clinical librarians, and the EBM course director using a five-point Likert scale, with 1 being inadequate performance and 5 being superior performance. The SP evaluated the communication skills using a checklist.Results. Students' performances were very good, with means of 3.7 to 4.0 in each area. Agreement between the course director and station developers was good. Seventy-five percent of the students performed adequate Medline searches. Students averaged over 93% on the performance of four communication skills.Conclusion. The evaluation of EBM skills can be carried out during a performance-based examination. Results can assist in developing students' skills and directing curricular efforts.