查詢結果分析
相關文獻
頁籤選單縮合
題名 | Validation of the Behavior and Concept Based Assessment of Professionalism Competence in Postgraduate First-year Residents= |
---|---|
作者 | Yang, Ying-ying; Lee, Fa-yauh; Hsu, Hui-chi; Lee, Wen-shin; Chuang, Chiao-lin; Chang, Ching-chih; Huo, Teh-ia; Huang, Yi-hsiang; Huang, Chia-chang; Huang, Chin-chou; |
期刊 | Journal of the Chinese Medical Association |
出版日期 | 20130400 |
卷期 | 76:4 2013.04[民102.04] |
頁次 | 頁186-194 |
分類號 | 410.3 |
語文 | eng |
關鍵詞 | Clinical training; Concepts; Professionalism; Reliabilities; |
英文摘要 | Background: The evaluation of professional behaviors and concepts of postgraduate first-year (PGY 1 ) residents has been identified as an area for development. This study examined the efficiency of the professionalism-assessing objective structured clinical examination (OSCE), 360° evaluation, and mini-Clinical Examination Exercise scores (mini-CEX; p -OSCE, p -360° evaluation, and p -mini-CEX scores). Methods: Between January 2009 and January 2012, 189 PGY 1 residents were evaluated for behavior- and concept-based professionalism competence based on the above three methods using two checklists unique to each case. Data were analyzed for reliability, inter-rater agreement, interval changes, and gender-related difference for each method. Results: The test reliabilities of p -OSCE, p -360° evaluation, and p -mini-CEX were acceptable. Further, the reliability of concept and combined p -OSCE was higher than that of behavior p -OSCE. In addition, the concept OSCE p -scores and behavior 360° evaluation p -scores were significantly improved after 6 months of training. The inter-rater agreements were relatively good in p -OSCE and p -360° evaluation. Interestingly, male PGY 1 residents had higher behavior 360° evaluation p -scores from nurses than those of females, whereas female PGY 1 residents had higher behavior 360° evaluation p -scores from patients than those of males. Behavior and concept OSCE p -scores were positively correlated with behavior 360° evaluation p -scores. In comparison with p -360° evaluation, the combination of p -360° evaluation + OSCE + mini-CEX significantly increases their reliabilities. Conclusion: The current study suggests that the p -OSCE, p -360° evaluation, and p -mini-CEX are feasible methods for evaluating professionalism in clinical training of PGY 1 residents. Combination of the above three evaluations, participation, and support from multiple constituencies and multiple representatives provides good reliability and adds credibility in the assessment of professionalism competence. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。