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Titolo:
Clinical work sampling - A new approach to the problem of in-training evaluation
Autore:
Turnbull, J; MacFadyen, J; van Barneveld, C; Norman, G;
Indirizzi:
Univ Ottawa, Dept Med, Ottawa, ON, Canada Univ Ottawa Ottawa ON CanadaUniv Ottawa, Dept Med, Ottawa, ON, Canada McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada McMaster Univ Hamilton ON Canada idemiol & Biostat, Hamilton, ON, Canada
Titolo Testata:
JOURNAL OF GENERAL INTERNAL MEDICINE
fascicolo: 8, volume: 15, anno: 2000,
pagine: 556 - 561
SICI:
0884-8734(200008)15:8<556:CWS-AN>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMANISTIC BEHAVIOR; MEDICAL-STUDENTS; PEER RATINGS; PERFORMANCE; RESIDENTS; NURSES;
Keywords:
in-training evaluation; clinical work sampling;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Turnbull, J Ottawa Gen Hosp, Room LM-14,501 Smyth, Ottawa, ON K1H 8L6, Canada Ottawa Gen Hosp Room LM-14,501 Smyth Ottawa ON Canada K1H 8L6
Citazione:
J. Turnbull et al., "Clinical work sampling - A new approach to the problem of in-training evaluation", J GEN INT M, 15(8), 2000, pp. 556-561

Abstract

OBJECTIVE: Existing systems of in-training evaluation (ITE) have been criticized as being unreliable and invalid methods for assessing student performance during clinical education. The purpose of this study was to assess the feasibility, reliability, and validity of a clinical work sampling (CWS) approach to ITE. This approach focused on the following: (1) basing performance data on observed behaviors, (2) using multiple observers and occasions, (3) recording data at the time of performance, and (4) allowing for a feasible system to receive feedback. PARTICIPANTS: Sixty-two third-year University of Ottawa students were assessed during their 8-week internal medicine inpatient experience. MEASUREMENTS AND MAIN RESULTS: Four performance rating forms (Admission Rating Form, Ward Rating Form, Multidisciplinary Team Rating Form, and Patient's Rating Form) were introduced to document student performance. Voluntaryparticipation rates were variable (12%-64%) with patients excluded from the analysis because of low response rate (12%). The mean number of evaluations per student per rotation (19) exceeded the number of evaluations needed to achieve sufficient reliability. Reliability coefficients were high for the Ward Form (.86) and the Admission Form (.73) but not for the Multidisciplinary Team (.22) Form. There was an examiner effect (rater leniency), but this was small relative to real differences between students. Correlations between the Ward Form and the Admission Form were high (.47), while those with the Multidisciplinary Team Form were lower (.37 and .26, respectively). The CWS approach ITE was considered to be content valid by expert judges. CONCLUSIONS: The collection of ongoing performance data was reasonably feasible, reliable, and valid.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/10/20 alle ore 00:43:54