FACULTY SENSITIVITY IN DETECTING MEDICAL-STUDENTS CLINICAL COMPETENCE

被引：7

作者：

SLOAN, DA

DONNELLY, MB

DRAKE, DB

SCHWARTZ, RW

机构：

[1] Department of Surgery, University of Kentucky College of Medicine, Lexington, KY

来源：

MEDICAL TEACHER | 1995年 / 17卷 / 03期

关键词：

D O I：

10.3109/01421599509008325

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

The purpose of this study was to determine the sensitivity of subjective faculty evaluations (1) in detecting the levels of clinical competence exhibited by third-year medical students in a junior clerkship and (2) in correlating with objective measures of the students' performance. Forty-eight third-year medical students were evaluated during the course of a 10-week surgery clerkship. Each student was subjectively evaluated by four surgery faculty members and by a number of objective measures. Unlike the subjective evaluations, the objective testing clearly demonstrated students' deficiencies. None of the seven students identified as underachieving by the battery of objective tests was identified as deficient by any of the faculty evaluators. The subjective scores in this study did not correlate highly with objective tests of either knowledge or performance. Reliance on subjective clinical evaluations as the sole measure of clinical ability is clearly not warranted. To better define clinical competence in the medical student and resident population, we must de-emphasize subjective faculty evaluations and place greater importance on objective tests.

引用

页码：335 / 342

页数：8

共 20 条

[1]

Benenson T.F., Stimmel B., Aufses A., Concordance of surgical clerkship performance and National Board of Medicine Examiners Part II subtest scores. A validation model, Surgery, 89, pp. 692-696, (1981)

[2]

Borman W.C., Effects of instructions to avoid halo error on reliability and validity of performance evaluation ratings, Journal of Applied Psychology, 60, pp. 556-560, (1975)

[3]

Carline J.D., Cook C.E., Lennard E.S., Siever M., Coluccio G.M., Norman N.L., Resident and faculty differences in student evaluations: implications for changes in a clerkship grading system, Surgery, 100, pp. 89-94, (1986)

[4]

Cohen R., Reznick R.K., Taylor B.R., Provan J., Rothman A., Reliability and validity of the objective structured clinical examination in assessing surgical residents, American Journal of Surgery, 160, pp. 302-305, (1990)

[5]

Davis J.K., Inamdar S., Stone R.K., Interrater agreement and predictive validity of faculty ratings of pediatric residents, Journal of Medical Education, 61, pp. 901-905, (1986)

[6]

Ebel R.L., Estimation of the reliability of ratings, Psychometrika, 16, pp. 407-424, (1951)

[7]

Erviti V., Fabrey L.J., Bunce J.V., The development of rating scales to assess the clinical performance of medical students, 18, pp. 185-190, (1979)

[8]

Guilford J.P., Psychometric Methods 2nd edn., pp. 263-301, (1954)

[9]

Hammond K.R., Kern F., Teaching Comprehensive Medical Care, a Psychological Study of a Change in Medical Education., (1959)

[10]

Herman M.W., Veloski J.J., Hojat M., Validity and importance of low ratings given medical graduates in noncognitive areas, Journal of Medical Education, 58, pp. 837-843, (1983)

← 1 2 →