我国人文医学执业技能培训效果评价的研究进展

为探索开展人文医学执业技能培训的有效方法,检索了157篇主题词为“人文医学执业技能”的文献,对其中29篇关于培训效果评价的文章进行了分析,发现人文医学执业技能培训效果的评价多为即时评价,培训效果的评价没有统一的评价内容,以医患沟通为多见,主要采取考试的方式进行培训效果的检验。建议客观真实反映人文医学执业培训的效果和水平,有必要建立有针对性的系统、全面、标准化人文医学执业技能培训的评价体系,并将其运用于培训实践工作中。

     

心理学毕业生专业技能调查及其对专业改革的启示

通过对204名心理系历届本科毕业生的调查,结论如下：(1)毕业生对心理学专业教学总体满意度一般,其中对专业实践安排的满意度最低;(2)毕业生认为最重要的技能是“进行心理活动课程”和“心理咨询”,最欠缺的技能是“心理治疗”和“心理咨询”;(3)心理学应用技能课程包含“心理咨询及治疗”、“心理课程及教育”、“心理测评及应用”三个因素。在调查基础上,本文提出了心理学专业改革的设想。     

Knowing what you are doing: Action-demonstratives in unreflective action

Almost everything that we do, we do by doing other things. Even actions we perform without deliberation or conscious planning are composed of ‘smaller’, subsidiary actions. But how should we think of such subsidiary actions? Are they fully-fledged intentional actions (in the sense of things that we do for reasons) in their own right? In this paper I defend an affirmative answer to this question, against a recently influential form of scepticism. Drawing on a distinctive kind of ‘action-demonstrative’ representation, I show that the sceptic's arguments do not go through.     

It's lonely at the bottom (too): The effects of experienced powerlessness on social closeness and disengagement

Although “powerlessness” is a pervasive experience for employees, prior social power research has predominantly focused on consequences of “powerfulness.” This has led to contradictory predictions for how experienced powerlessness influences employees’ social perceptions and behaviors. To resolve this theoretical tension, we build on Social Distance Theory (Magee & Smith) to develop a theoretical model suggesting that experienced powerlessness reduces social closeness and subsequently causes social disengagement behaviors both at work (reduced helping and increased interaction avoidance) and at home (increased withdrawal). Our model also elucidates the processes that cause powerlessness to reduce social closeness, demonstrating that employees’ affiliation motive and their expectation of others’ interest in affiliating explain this relationship. We further propose that the effect of powerlessness on social closeness will be stronger for employees high (vs. low) in political skill because these employees are more attuned to workplace power dynamics. We find support for our model in an experience-sampling field experiment and two experimental scenario studies. Our research clarifies the effects of powerlessness on social closeness and organizationally relevant downstream consequences, qualifies dominant assumptions that the powerless always behave in ways opposite those of the powerful, and demonstrates the importance of political skill as a moderator of power's effects.     

Driving examiners’ views on data-driven assessment of test candidates: An interview study

Vehicles are increasingly equipped with sensors that capture the state of the driver, the vehicle, and the environment. These developments are relevant to formal driver testing, but little is known about the extent to which driving examiners would support the use of sensor data in their job. This semi-structured interview study examined the opinions of 37 driving examiners about data-driven assessment of test candidates. The results showed that the examiners were supportive of using data to explain their pass/fail verdict to the candidate. According to the examiners, data in an easily accessible form such as graphs of eye movements, headway, speed, or braking behavior, and color-coded scores, supplemented with camera images, would allow them to eliminate doubt or help them convince disagreeing test-takers. The examiners were skeptical about higher levels of decision support, noting that forming an overall picture of the candidate’s abilities requires integrating multiple context-dependent sources of information. The interviews yielded other possible applications of data collection and sharing, such as selecting optimal routes, improving standardization, and training and pre-selecting candidates before they are allowed to take the driving test. Finally, the interviews focused on an increasingly viable form of data collection: simulator-based driver testing. This yielded a divided picture, with about half of the examiners being positive and half negative about using simulators in driver testing. In conclusion, this study has provided important insights regarding the use of data as an explanation aid for examiners. Future research should consider the views of test candidates and experimentally evaluate different forms of data-driven support in the driving test.     

Explaining the effects of a decision intervention on mammography intentions: The roles of worry,fear and perceived susceptibility to breast cancer

Objective: This study examines the effects of a mammography decision intervention on perceived susceptibility to breast cancer (PSBC) and emotion and investigates how these outcomes predict mammography intentions.

Design: Randomised between-subjects online experiment. Participants were stratified into two levels of risk. Within each stratum, conditions included a basic information condition and six decision intervention conditions that included personalised risk estimates and varied according to a 2 (amount of information: brief vs. extended) × 3 (format: expository vs. untailored exemplar vs. tailored exemplar) design. Participants included 2465 US women ages 35–49.

Main Outcome Measures: PSBC as a percentage, PSBC as a frequency, worry, fear and mammography intentions.

Results: The intervention resulted in significant reductions in PSBC as a percentage for women in both strata and significant increases in worry and fear for women in the upper risk stratum. Of the possible mediators examined, only PSBC as a percentage was a consistent mediator of the effect of the intervention on mammography intentions.

Conclusion: The results provide insight into the mechanism of action of the intervention by showing that PSBC mediated the effects of the intervention on mammography intentions.     

Geopolitical Forecasting Skill in Strategic Intelligence

Extending research by the authors on intelligence forecasting, the forecasting skill of 3622 geopolitical forecasts extracted from strategic intelligence reports was examined. The codable subset of forecasts (N = 2013) was expressed with verbal probabilities (e.g., likely) and translated to numeric probability equivalents. This subset showed very good calibration and discrimination, but also underconfidence. There was no support for the hypothesis that forecasting skill was good mainly because of the general ease of forecasting topics. First, forecasting skill was as good among authoritative key judgments as in the general set. Second, forecasts that were assigned high degrees of certainty, indicative of ease, (p ≤ 0.05 or p ≥ 0.95) did not discriminate as well as less certain forecasts (0.05 < p < 0.95), and these subsets did not differ in calibration. Sensitivity and benchmarking tests further revealed that if the 1609 uncodable forecasts were all assigned forecast probabilities of .5 (i.e., if all followed a “cautious ignorance” rule), skill characteristics would still show a large effect size improvement over a variety of guesswork strategies. The findings support a cautiously optimistic assessment of forecasting skill in strategic intelligence and indicate that such skill is not primarily attributable to the selection of easy forecasting topics. However, the large proportion of uncodable cases suggests that intelligence forecasts could be improved by avoiding imprecise language that affects not only the codability but also, in all likelihood, the interpretability and indicative value of forecasts for intelligence consumers. Copyright © 2017 John Wiley & Sons, Ltd.