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首页> 外文期刊>BMC Medical Education >Reliability and acceptability of six station multiple mini-interviews: past-behavioural versus situational questions in postgraduate medical admission
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Reliability and acceptability of six station multiple mini-interviews: past-behavioural versus situational questions in postgraduate medical admission

机译：六站式微型访谈的可靠性和可接受性：研究生入学时的过去行为和情境问题

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Background The multiple mini-interview (MMI) is increasingly used for postgraduate medical admissions and in undergraduate settings. MMIs use mostly Situational Questions (SQs) rather than Past-Behavioural Questions (PBQs). A previous study of MMIs in this setting, where PBQs and SQs were asked in the same order, reported that the reliability of PBQs was non-inferior to SQs and that SQs were more acceptable to candidates. The order in which the questions are asked may affect reliability and acceptability of an MMI. This study investigated the reliability of an MMI using both PBQs and SQs, minimising question order bias. Acceptability of PBQs and SQs was also assessed. Methods Forty candidates applying for a postgraduate medical admission for 2016–2017 were included; 24 examiners were used. The MMI consisted of six stations with one examiner per station; a PBQ and a SQ were asked at every station, and the order of questions was alternated between stations. Reliability was analysed for scores obtained for PBQs or SQs separately, and for both questions. A post-MMI survey was used to assess the acceptability of PBQs and SQs. Results The generalisability (G) coefficients for PBQs only, SQs only, and both questions were 0.87, 0.96, and 0.80, respectively. Decision studies suggested that a four-station MMI would also be sufficiently reliable (G-coefficients 0.82 and 0.94 for PBQs and SQs, respectively). In total, 83% of participants were satisfied with the MMI. In terms of face validity, PBQs were more acceptable than SQs for candidates ( p =?0.01), but equally acceptable for examiners (88% vs. 83% positive responses for PBQs vs. SQs; p =?0.377). Candidates preferred PBQs to SQs when asked to choose one, though this difference was not significant ( p =?0.081); examiners showed a clear preference for PBQs ( p =?0.007). Conclusions Reliability and acceptability of six-station MMI were good among 40 postgraduate candidates; modelling suggested that four stations would also be reliable. SQs were more reliable than PBQs. Candidates found PBQs more acceptable than SQs and examiners preferred PBQs when they had to choose between the two. Our findings suggest that it is better to ask both PBQs and SQs during an MMI to maximise acceptability.
机译：背景技术多次迷你面试（MMI）越来越多地用于研究生入学和大学环境中。 MMI主要使用情境问题（SQ），而不是过去行为问题（PBQ）。以前在这种情况下对MMI的研究（以相同的顺序询问PBQ和SQ）表明，PBQ的可靠性不次于SQ，并且候选人更愿意接受SQ。提出问题的顺序可能会影响MMI的可靠性和可接受性。这项研究调查了同时使用PBQ和SQ的MMI的可靠性，从而最大程度地减少了问题顺序偏倚。还评估了PBQ和SQ的可接受性。方法纳入2016-2017年申请研究生入学的40名候选人;使用了24名检查员。 MMI由六个工作站组成，每个工作站有一名审查员。在每个站点都要询问PBQ和SQ，问题的顺序在站点之间是交替的。分别分析了针对PBQ或SQ的得分以及两个问题的可靠性。 MMI后调查用于评估PBQ和SQ的可接受性。结果仅针对PBQ，仅针对SQ以及两个问题的通用性（G）系数分别为0.87、0.96和0.80。决策研究表明，四站式MMI也将足够可靠（PBQ和SQ的G系数分别为0.82和0.94）。总计83％的参与者对MMI感到满意。就面部有效性而言，候选人的PBQ比SQ更可接受（p =？0.01），但对于考官而言，同样可接受（PBQ与SQ的阳性反应分别为88％和83％; p =？0.377）。当要求选择一个PBQ时，候选人偏爱PBQ，尽管这种差异并不明显（p =？0.081）;考官对PBQ表现出明显的偏爱（p =？0.007）。结论40名研究生中六站MMI的信度和接受度良好;建模表明四个站也将是可靠的。 SQ比PBQ更可靠。候选人发现PBQ比SQ更可接受，并且当审查员不得不在两者之间进行选择时，他们更喜欢PBQ。我们的发现表明，最好在MMI期间同时询问PBQ和SQ以使可接受性最大化。

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