Assessment of clinical competencies using clinical images and videos "CIVA".
Assessment of clinical competencies using clinical images and videos "CIVA".
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DOI：
10.1186/1472-6920-13-78
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发表时间：
2013-05-30
影响因子：
3.6
通讯作者：
Hamdy H
中科院分区：
文献类型：
--
作者：
Sulaiman ND;Hamdy H
本文介绍了一种临床能力的评估方法，它扩大了使用视频和图像评估的问题和任务的数量。临床影像和录像评估（CIVA）被用来评估临床推理和决策的最后一年医学生。根据检查蓝图选择了40到50个由富文本小插图支持并由主题专家审查的临床视频和图像进行分析。CIVA评分与OSCE、DOCEE和笔试成绩之间的相关性采用Pearson相关分析，信度采用Cronbach’s Alpha系数分析。此外，学生个人使用5点李克特量表评估CIVA。CIVA与OSCE的相关系数为0.83，而笔试和DOCEE的相关系数分别为0.36和0.35。第一批欧安组织和CIVA的克朗巴赫α值分别为0.71和0.78。第二批分别为0.91和0.91。82%的学生对CIVA的流程、内容和质量非常满意或满意。一个结构良好的CIVA类型的评估与丰富的真实的小插曲和高质量的视频和图像，可以用来评估临床推理和决策的最后一年医学生。CIVA是一种评估工具，与欧安组织密切相关，补充了书面和DOCEE，更容易进行，成本可能降低。
This paper describes an assessment approach of clinical competencies which widens the number of problems and tasks evaluated using videos and images. Clinical Image and Video Assessment (CIVA) was used to assess clinical reasoning and decision making of final year medical students. Forty to fifty clinical videos and images supported by rich text vignette and reviewed by subject matter experts were selected based on examination blueprints for analysis. CIVA scores were correlated with OSCE, Direct Observation Clinical Encounter Exam (DOCEE) and written exam scores, using the 2-sided Pearson correlation analysis, and their reliability was analyzed using Cronbach’s Alpha Coefficient. Furthermore, students personally evaluated the CIVA using a 5- point Likert scale. CIVA and OSCE scores showed a high correlation (r = 0.83) in contrast with the correlation scores of the written examination (r = .36) and the DOCEE (r = 0.35). Cronbach’s Alpha for the OSCE and CIVA for the first batch was 0.71 and 0.78. As for the second batch it was 0.91 and 0.91 respectively. Eighty-two percent of students were very satisfied or satisfied with the CIVA process, contents and quality. A well constructed CIVA type assessment with a rich authentic vignette and good quality videos and images could be used to assess clinical reasoning and decision making of final year medical students. CIVA is an assessment tool which correlates well with OSCE, compliments the written and DOCEE and is easier to conduct at a possibly reduced cost.
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影响因子：
7.4
作者：
Croskerry, Pat
通讯作者：
Croskerry, Pat
影响因子：
1.8
作者：
Norcini, John J.
通讯作者：
Norcini, John J.
DOI：
10.1016/j.bpobgyn.2010.04.001
发表时间：
2010-12-01
影响因子：
5.5
作者：
van der Vleuten, C. P. M.;Schuwirth, L. W. T.;Hodges, B.
通讯作者：
Hodges, B.
影响因子：
4.7
作者：
Shumway, JM;Harden, RM
通讯作者：
Harden, RM
影响因子：
4
作者：
Elstein, Arthur S.
通讯作者：
Elstein, Arthur S.