دورية أكاديمية
Development, Validation, and Implementation of a Medical Judgment Metric
| العنوان: | Development, Validation, and Implementation of a Medical Judgment Metric |
|---|---|
| المؤلفون: | Rami A. Ahmed DO, MHPE, Michele L. McCarroll PhD, Alan Schwartz PhD, M. David Gothard MS, S. Scott Atkinson, Patrick G. Hughes DO, Jose Ramon Cepeda Brito MD, Lori Assad MPH, Jerry G. Myers PhD, Richard L. George MD, MSPH, FACS |
| المصدر: | MDM Policy & Practice, Vol 2 (2017) |
| بيانات النشر: | SAGE Publishing, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Medicine (General) |
| مصطلحات موضوعية: | Medicine (General), R5-920 |
| الوصف: | Background: Medical decision making is a critical, yet understudied, aspect of medical education. Aims: To develop the Medical Judgment Metric (MJM), a numerical rubric to quantify good decisions in practice in simulated environments; and to obtain initial preliminary evidence of reliability and validity of the tool. Methods: The individual MJM items, domains, and sections of the MJM were built based on existing standardized frameworks. Content validity was determined by a convenient sample of eight experts. The MJM instrument was pilot tested in four medical simulations with a team of three medical raters assessing 40 participants with four levels of medical experience and skill. Results: Raters were highly consistent in their MJM scores in each scenario (intraclass correlation coefficient 0.965 to 0.987) as well as their evaluation of the expected patient outcome (Fleiss’s Kappa 0.791 to 0.906). For each simulation scenario, average rater cut-scores significantly predicted expected loss of life or stabilization (Cohen’s Kappa 0.851 to 0.880). Discussion : The MJM demonstrated preliminary evidence of reliability and validity. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2381-4683 23814683 |
| العلاقة: | https://doaj.org/toc/2381-4683Test |
| DOI: | 10.1177/2381468317715262 |
| الوصول الحر: | https://doaj.org/article/3ff2eb2397ed40c881c81170a6869d4cTest |
| رقم الانضمام: | edsdoj.3ff2eb2397ed40c881c81170a6869d4c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23814683 |
|---|---|
| DOI: | 10.1177/2381468317715262 |