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Early predictors of summative assessment performance in general practice post-graduate training: A retrospective cohort study

机译：普通实践中总结评估绩效的早期预测因素毕业生培训：回顾性队列研究

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摘要

Background: Success in summative general practice (GP) training assessments is one indicator of competence for practice. Early-training factors predictive of outcomes would facilitate targeted interventions aimed at preventing candidate failures. Methods: We undertook a retrospective cohort study of Australian GP trainees in two training organizations over five years. Associations of pre-training and early-training predictors with summative examination scores in an Applied Knowledge Test (AKT), Key Features Paper (KFP), and Objective Structured Clinical Examination (OSCE), plus failure on any one of these, were tested via univariate and multivariable regression. Predictors were program-entry selection-score decile, pre-training-commencement multiple choice assessment (MCQA), direct observation of practice performance, and clinical supervisor reports. Results: On univariate analyses, selection decile and MCQA were associated with all outcomes except AKT. There were no associations of other predictors with any outcomes. On multivariable analysis, selection decile and MCQA performance were predictive of OSCE performance. MCQA performance was also predictive of KFP performance. On multivariable analysis, no predictors were associated with AKT performance or failing any examination. Conclusions: Selection decile and pre-commencement MCQA performance were predictive of performance in some summative assessments. These findings could inform selection policies and targeted early interventions for trainees at most risk for exam failure.
机译：背景：总结一般实践（GP）培训评估的成功是实践能力的一个指标。预测结果的早期培训因素将促进针对旨在预防候选失败的目标干预措施。方法：我们在五年多的培训组织中对澳大利亚GP学员进行了回顾性队列研究。在应用知识测试（AKT）中具有总结考试评分的预训练和早期培训预测因子的关联，主要特点纸张（KFP）和客观结构化临床检查（欧安组织），并通过单变量和多变量的回归。预测因子是方案入学选择 - 分数定分，预先培训 - 开始多项选择评估（MCQA），直接观察实践绩效和临床监督员报告。结果：在单变量分析中，选择Decile和McQA与除AKT之外的所有结果都相关联。任何其他预测因子都没有任何结果。在多变量分析中，选择性解波和MCQA性能预测欧安组织性能。 MCQA性能也预测了KFP性能。在多变量分析上，没有预测因子与AKT性能相关或未能进行任何检查。结论：选择二维和预先开始的MCQA性能是在一些总结评估中的性能预测性能。这些调查结果可以为大多数考试失败风险的受训人员提供信息和针对学员的早期干预措施。

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  • 来源
    《Medical teacher》 |2018年第11期|共9页
  • 作者

    Stewart Rebecca; Cooling Nick; Emblen Graham; Turnock Allison; Tapley Amanda; Holliday Elizabeth; Ball Jean; Juckel Jennifer; Magin Parker;

  • 作者单位

    Med Educ Experts Townsville Qld Australia;

    Univ Tasmania Sch Med Internationalisat &

    Global Hlth Hobart Tas Australia;

    Gen Practice Training Queensland Brisbane Qld Australia;

    Univ Tasmania Sch Med Hobart Tas Australia;

    Univ Newcastle Sch Med &

    Publ Hlth Newcastle NSW Australia;

    Univ Newcastle Sch Med &

    Publ Hlth Biostat Newcastle NSW Australia;

    Hunter Med Res Inst New Lambton Australia;

    Gen Practice Training Queensland Brisbane Qld Australia;

    Gen Practice Synergy NSW &

    ACT Res &

    Evaluat Unit Newcastle NSW Australia;

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  • 正文语种 eng
  • 中图分类 医药、卫生;
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