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首页> 外文期刊>Medical education >Sheffield Assessment Instrument for Letters (SAIL): performance assessment using outpatient letters.
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Sheffield Assessment Instrument for Letters (SAIL): performance assessment using outpatient letters.

机译：谢菲尔德信件评估工具（SAIL）：使用门诊信件进行绩效评估。

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CONTEXT: Well-designed assessments of performance are urgently required for training doctors, and to provide indicators of the quality of practice. OBJECTIVES: To design an assessment process that uses routine outpatient letters, and to evaluate its validity, feasibility, reliability (reproducibility and discrimination) and potential educational impact. PARTICIPANTS: All 26 paediatric registrars in North Trent attending annual assessment panel in 1999 participated. STUDY DESIGN: An assessment instrument (SAIL) was developed from a consensus framework for good practice in written communication. It comprises an 18-point checklist and a global rating scale. Three judges applied the instrument to 260 letters from the routine clinical practice of the 26 participants. Results We achieved consensus on good practice in written communication. This was in keeping with the published literature. All participants completed the assessment. Scoring took 3-6 min per judge per letter. The reliability coefficient in this test situation is 0.72. Modelling predicts that a coefficient of 0.8 (the threshold for high-stakes judgements about performance) can be achieved with more judges or letters. The assessment results are well suited to formative feedback. CONCLUSIONS: SAIL uses letters as a face valid indicator of written communication performance. The instrument is feasible to use, and produces reliable results when applied to paediatric registrars to inform the annual Record of In-Training Assessment (RITA). Feedback from the assessment should help doctors to improve their written communication. Its use may extend to other specialities and settings including revalidation.
机译：背景：培训医生迫切需要精心设计的绩效评估，并提供实践质量的指标。目的：设计一个使用常规门诊信件的评估程序，并评估其有效性，可行性，可靠性（可再现性和歧视性）以及潜在的教育影响。参与者：1999年参加年度评估小组的北特伦特地区的所有26名儿科注册服务商都参加了会议。研究设计：评估工具（SAIL）是根据共识框架开发的，用于书面交流中的良好实践。它包括一个18点清单和一个全球评分表。三名法官将仪器应用于来自26名参与者的常规临床实践的260封信中。结果我们就书面交流的良好实践达成了共识。这与公开的文献一致。所有参与者均完成了评估。每位法官每封信的评分时间为3-6分钟。在这种测试情况下的可靠性系数为0.72。建模预测，可以使用更多的法官或字母来达到0.8的系数（有关绩效的高风险判断的阈值）。评估结果非常适合形成反馈。结论：SAIL使用字母作为书面交流表现的面部验证指标。该仪器是可行的，并且在应用于儿科注册服务商时，可以产生可靠的结果，以告知年度培训评估记录（RITA）。评估的反馈应有助于医生改善书面沟通。它的使用可能会扩展到其他专业和设置，包括重新验证。

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