情境判断测试在医师职业精神评价中的应用研究
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摘要
医师职业精神的教育和评价已成为医学教育的重要组成部分,在过去的十几年里各国制定了一系列医师职业精神的评价方法。介绍了墨尔本大学使用情境判断测试对医学生医师职业精神的评价方法,通过设计临床实践中具体的伦理困境,评价医学生有效沟通、关注病人、团队的有效合作、压力管理和对职业精神的承诺五方面的能力,并采用Angoff标准设置法进行评价标准的制定。结果显示,情境判断测试对医学生的医师职业精神学习产生积极的影响,可以有效地评价医学生的医师职业精神。
Teaching and assessing professionalism are essential elements of medical education.Various countries had set a series of evaluation methods to measure professionalism over the past decades.This study introduces the situational judgement tests assessing professionalism in University of Melbourne,setting ethical dilemma in clinical practice to evaluate five abilities,including effective communication,patient focus,working effectively as part of a team,coping with pressure,and commitment to professionalism,and the Angoff method was applied for the standard-setting process.Results from this study suggest that the tests positively affected students' learning of medical professionalism,and the situational judgement tests can be used to evaluate the medical professionalism effectively.
Teaching and assessing professionalism are essential elements of medical education.Various countries had set a series of evaluation methods to measure professionalism over the past decades.This study introduces the situational judgement tests assessing professionalism in University of Melbourne,setting ethical dilemma in clinical practice to evaluate five abilities,including effective communication,patient focus,working effectively as part of a team,coping with pressure,and commitment to professionalism,and the Angoff method was applied for the standard-setting process.Results from this study suggest that the tests positively affected students' learning of medical professionalism,and the situational judgement tests can be used to evaluate the medical professionalism effectively.
引文
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[3]刘晓梅,卞冉,车宏生.情境判断测验的效度研究述评[J].心理科学进展,2011,19(5):740-748.
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[5]LUSCHIN-EBENGREUTH M,DIMAI H P,ITHALER D,et al.Situational judgment test as an additional tool in a medical admission test:An observational investigation[J].BMC Research Notes,2015,8:81.
[6]LIEVENS F,COETSIER P.Situational tests in student selection:An examination of predictive validity,adverse impact,and construct validity[J].Int J Sel Assess,2002,10(4):245-257.
[7]PATTERSON F,ASHWORTH V,ZIBARRAS L,et al.Evaluations of situational judgement tests to assess nonacademic attributes in selection[J].Med Educ,2012,46(9):850-868.
[8]GOSS B D,RYAN A T,WARING J,et al.Beyond Selection:The Use of Situational Judgement Tests in the Teaching and Assessment of Professionalism[J].Acad Med,2017,92(6):780-784
[9]YUDKOWSKY R,DOWNING S M,POPESCU M.Setting standards for performance tests:A pilot study of a three-level Angoff method[J].Acad Med,2008,83(10Suppl):13-16.
[10]WOOD J,COLLINS J,BURNSIDE E S,et al.Patient,faculty,and self-assessment of radiology resident performance:a 360-degree method of measuring professionalism and interpersonal/communication skills[J].Acad Radiol,2004,11(8):931-939.
[11]HARDEN R M,GLEESON F A.Assessment of clinical competence using an objective structured clinical examination[J].Med Educ,1979,13(1):41-54.
[12]RICHARD C,JODI H M,SYLVIA C,et al.The Professionalism Mini-Evaluation Exercise:A Preliminary Investigation[J].Acad Med,2006,81(10):74-78.
[13]NICOLE C,GAVIN H,BRITTANY P,et al.Use of a 360-Degree Evaluation in the Outpatient Setting:The Usefulness of Nurse,Faculty,Patient/Family,and Resident Self-Evaluation[J].J Grad Med Educ,2010,2(3):430-434.
[14]MCDANIEL M A,MORGESON F P,FINNEGAN E B,et al.Use of situational judgment tests to predict job performance:A clarification of the literature[J].J Appl Psycho,2001,86(4):730-740.
[15]凌斌,顾金良,孙丽君.情境判断测验的研究述评[J].心理技术与应用,2016,4(9):538-548.
[16]PEETERS H,LIEVENS F.Situational judgment tests and their predictiveness of college students’success:The influence of faking[J].Educ Psychol Meas,2005,65(1):70-89.
[2]陈恺,赵牧,李瑞丰.医师职业素养评测体系构建的研究进展[J].医学与哲学,2014,35(5B):67-70.
[3]刘晓梅,卞冉,车宏生.情境判断测验的效度研究述评[J].心理科学进展,2011,19(5):740-748.
[4]陈晶,车宏生.情境判断测验的研究进展[J].心理学探新,2006,26(4):78-82.
[5]LUSCHIN-EBENGREUTH M,DIMAI H P,ITHALER D,et al.Situational judgment test as an additional tool in a medical admission test:An observational investigation[J].BMC Research Notes,2015,8:81.
[6]LIEVENS F,COETSIER P.Situational tests in student selection:An examination of predictive validity,adverse impact,and construct validity[J].Int J Sel Assess,2002,10(4):245-257.
[7]PATTERSON F,ASHWORTH V,ZIBARRAS L,et al.Evaluations of situational judgement tests to assess nonacademic attributes in selection[J].Med Educ,2012,46(9):850-868.
[8]GOSS B D,RYAN A T,WARING J,et al.Beyond Selection:The Use of Situational Judgement Tests in the Teaching and Assessment of Professionalism[J].Acad Med,2017,92(6):780-784
[9]YUDKOWSKY R,DOWNING S M,POPESCU M.Setting standards for performance tests:A pilot study of a three-level Angoff method[J].Acad Med,2008,83(10Suppl):13-16.
[10]WOOD J,COLLINS J,BURNSIDE E S,et al.Patient,faculty,and self-assessment of radiology resident performance:a 360-degree method of measuring professionalism and interpersonal/communication skills[J].Acad Radiol,2004,11(8):931-939.
[11]HARDEN R M,GLEESON F A.Assessment of clinical competence using an objective structured clinical examination[J].Med Educ,1979,13(1):41-54.
[12]RICHARD C,JODI H M,SYLVIA C,et al.The Professionalism Mini-Evaluation Exercise:A Preliminary Investigation[J].Acad Med,2006,81(10):74-78.
[13]NICOLE C,GAVIN H,BRITTANY P,et al.Use of a 360-Degree Evaluation in the Outpatient Setting:The Usefulness of Nurse,Faculty,Patient/Family,and Resident Self-Evaluation[J].J Grad Med Educ,2010,2(3):430-434.
[14]MCDANIEL M A,MORGESON F P,FINNEGAN E B,et al.Use of situational judgment tests to predict job performance:A clarification of the literature[J].J Appl Psycho,2001,86(4):730-740.
[15]凌斌,顾金良,孙丽君.情境判断测验的研究述评[J].心理技术与应用,2016,4(9):538-548.
[16]PEETERS H,LIEVENS F.Situational judgment tests and their predictiveness of college students’success:The influence of faking[J].Educ Psychol Meas,2005,65(1):70-89.