文章基本信息

标题：Piloting an outcome-based programme evaluation tool in undergraduate medical education
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作者：Tobias Raupach ; Sarah Schiekirka ; Christian Münscher 等
期刊名称：GMS Zeitschrift für Medizinische Ausbildung
印刷版ISSN：1860-3572
出版年度：2012
卷号：29
页码：1-14
DOI：10.3205/zma000814
出版社：German Medical Science
摘要：Aims: Different approaches to performance-oriented allocation of resources according to teaching quality are currently being discussed within German medical schools.The implementation of these programmes is impeded by a lack of valid criteria to measure teaching quality.An assessment of teaching quality should include structural and procedural aspects but focus on learning outcome itself.The aim of this study was to implement a novel, outcome-based evaluation tool within the clinical phase of a medical curriculum and address differences between the novel tool and traditional evaluation methods. Methods: Student self-assessments before and after completion of a teaching module were used to compute performance gains for specific learning objectives.Mean performance gains in each module were compared to student expectations before the module and data derived from a traditional evaluation tool using overall course ratings at the end of the module. Results: A ranking of the 21 modules according to computed performance gains yielded entirely different results than module rankings based on overall course ratings.There was no significant correlation between performance gain and overall ratings.However, the latter were significantly correlated to student expectations before entering the module as well as structural and procedural parameters (Pearson’s r 0.7-0.9). Conclusion: Performance gain computed from comparative self-assessments adds an important new dimension to course evaluation in medical education.In contrast to overall course ratings, the novel tool is less heavily confounded by construct-irrelevant factors.Thus, it appears to be more appropriate than overall course ratings in determining teaching quality and developing algorithms to guide performance-oriented resource allocation in medical education.
关键词：evaluation; self-assessment; performance; learning objective; congruence; clinical studies