医师职业素养评测体系构建的研究进展

随着我国社会经济的发展,医疗体制的改革,医师职业素养的培养成为当今医疗体制下医学在校教育、住院医生培养、医疗卫生管理中必须关注的内容。目前国外对医师职业素养的培养做了大量的工作,也取得了较好的效果,但是对于职业素养的培养不仅需要理论教学的改革,更需要相应评估机制的建立。本文对国外医师执业素养评估的最新进展进行介绍,分析各种方法的优劣,以期为国内医学教育建立统一的、具有广泛公认度的测评体系提供参考。     

Role of motivation,self‐efficacy and parent support in adolescent structured leisure activity participation

An increasing body of research supports the positive physical, social and psychological health benefits of adolescent involvement in structured out‐of‐school leisure activities. Analysis of data from 1280 12–17‐year‐old Western Australian metropolitan high school students, found that several factors were associated with adolescent involvement in structured leisure activities, including parent support of the activity (both active and passive), intrinsic motivation and self‐efficacy. There were no significant gender differences in the rate of participation or hours spent participating in structured leisure activities overall. More female than male students, however, were involved in structured creative activities and male students spent significantly more time involved in structured physical group activities. Recommendations for supporting adolescent involvement in structured leisure activities are discussed.     

多面Rasch模型在结构化面试中的应用

使用项目反应理论中的多面Rasch模型,对66名考生在结构化面试中的成绩进行分析,剔除了由于评委等具体测量情境因素引入的误差对原始分数的影响,得到考生的能力估计值以及个体水平的评分者一致性信息。对基于考生能力估计值和考生面试分得到的决策结果进行比较,发现测量误差的确对决策造成影响,对个别考生的影响甚至相当巨大。进一步使用Facets偏差分析以及评委宽严程度的Facets分析追踪误差源。结果表明,将来自不同面试组的被试进行面试原始成绩的直接比较,评委的自身一致性和评委彼此之间在宽严程度上的差异均将导致误差。研究表明,采用Facets的考生能力估计值作为决策的依据将提高选拔的有效性。同时,Facets分析得到的考生个体层次的评分者一致性指标,以及评委与考生的偏差分析等研究结果还可以为面试误差来源的定位提供详细的诊断信息