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1
題名:使用中文化眼科臨床演練評量評估學習者臨床診療行為之信度分析-初報     (16點)
ANALYSIS OF THE RELIABILITY OF THE CHINESE VERSION OF THE OPHTHALMIC CLINICAL EVALUATION EXERCISE (OCEX) FOR ASSESSING CLINICAL PERFORMANCE OF TRAINEES IN TAIWAN--PRELIMINARY REPORT
著者:林信瓊(Hsin-Chiung Lin) ;詹社紅(She-Hung Chan) ;李建興(Jiahn-Shing Lee) ;孫銘輝(Ming-Hui Sun) ;馬惠康(David HK Ma) ;林耕國(Ken-Kuo Lin) ;王正儀(Jeng-Yi Wang) ;李石增(Shih-Tseng Lee)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Ophthalmic Clinical Evaluation Exercise (OCEX) ; reliability
刊名:中華民國眼科醫學會雜誌
卷期:51卷1期(2012.4)
頁碼:57-64
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:眼科臨床演練評量表(OCEX)在美國是一個有信度的評估工具,本研究擬測試分析中文化眼科臨床演練評量表用於評估習者之整體信度(reliability)。 方法:修改以Golnik提出之眼科臨床演練評量表(OCEX)為藍本,制訂中文評量表及其評分規準。然後拍攝由分別由實習醫師及住院醫師臨床診療標準化病人(standardized patient)因視力模糊及紅眼症之個案影片,由13位評分者觀賞影片評分;分析統計評分結果,驗證此臨床演練評量表整體信度。 結果:對於學習者之評分,13位評分者完成及回收有效評分表共44份。診斷視力模糊案例之影片,評量表整體信度(Cronbach's α)為前測0.774及後測0.762;同意係數(Cohen ĸ)分別為0.691、0.469,組內相關係數(interclass correlation coefficient, ICC)分別為0.935及0.915。以其來評估紅眼症案例,評量表整體信度分別為前測0.742、後測0.311;修改評量表後,整體信度後測提升至0.709評分者信度同意係數分別為前測為0.701、後測0.458,組內相關係數值0.949及0.909。 結論:以此中文評量表診斷視力模糊整體信度可接受,但針對紅眼症,需修改或刪除評量表項目,以增加評量表之信度。對於視力模糊及紅眼症,評分者同意係數均達中等以上,組內相關係數信度良好。
Purpose: The Ophthalmic Clinical Evaluation Exercise (OCEX) is a tool designed to assess the trainee's professionalism that was developed and tested for reliability in the United States. This study tests the reliability of the Chinese version of the OCEX. Methods: We modified the OCEX for use in Chinese and tested it on ophthalmic trainees in a teaching hospital in Taiwan. The works hop included videotaped trainee-simulated patient encounters on two different clinical scenarios, blurred vision, and red eye. The reliability of the modified Chinese version OCEX was evaluated by 13 raters. Results: For each trainee, 13 raters completed the OCEX forms. A total 44 forms were completed for four trainees. Cronbach's α for blurred vision is 0.774/0.762 (pre-test/post-test); for red eye 0.742/0.311 (pre-test/post-test), after modification of the items of OCEX, resident's α value improved to 0.709. Inter rater reliability, Cohen ĸ values are 0.691/0.469 and 0.701/0.458 (pre-test/post-test), baseline intraclass correlation coefficient [ICC] is 0.935/0.915 and 0.949/0.909 (pre-test/post-test) for blurred vision and red eye, respectively. Conclusions: Our study demonstrated adequate reliability was achieved in blurred vision scenario, however, to obtain acceptable (Cronbach's α>0.7) reliability in red eye scenario, we modified the checklist, so the interrater relaibility and interclass correlation coefficient were fair in both scenarios.


    

本卷期目次
中華民國眼科醫學會雜誌 51卷1期 (2012.4)
ANALYSIS OF OPHTHALMOLOGY INPATIENT CONSULTATION IN A REGIONAL TEACHING HOSPITAL/ Chau-Yi TanChao-Wei ChuangKuo-Pin ChangPo-Min YangChong-Bin Tsai
TREATMENT OF REFRACTORY BILATERAL IDIOPATHIC ORBITAL INFLAMMATION WITH ADJUNCTIVE RADIOTHERAPY/ Yu-Hao LinSang-Hue YenChieh-Chih TsaiShu-Ching KaoShui-Mei Lee
前老年期白內障病患之兩眼不等視/ 李建興侯鈞賀林耕國
ANTERIOR UVEITIS INDUCED BY RETAINED METALLIC FOREIGN BODY IN THE CHAMBER ANGLE AFTER MAGNETIC RESONANCE IMAGING--A CASE REPORT/ Jyh-Cheng LiouMei-Lin PengKuo-Hua Juan
玻璃體內注射腫瘤壞死因子對大鼠視網膜神經節細胞存活之影響/ 張志揚林堯泓葉明功江樵熹呂大文
COMBINED ENDOGENOUS ENDOPHTHALMITIS AND MENINGITIS SECONDARY TO INFECTIOUS ENDOCARDITIS--A CASE REPORT/ Jiun-Yo LinYa-Hsin KungMay-Ching HongShwu-Jiuan Sheu
ACCOMMODATION AND MYOPIA/ Patrick Joi-Tsang Shum
DELAYED ORBITAL APEX SYNDROME CAUSED BY A WOODEN CHOPSTICK/ Yi-Ching ShaoMei-Ling Peng
INTRAVITREAL INJECTION BEVACIZUMAB FOR VOGT-KOYANAGI-HARADA DISEASE COMPLICATED WITH MACULAR CHOROIDAL NEOVASCULIZATION--A CASE REPORT/ Shih-Hao WangYung-Jen Chen
使用中文化眼科臨床演練評量評估學習者臨床診療行為之信度分析-初報/ 林信瓊詹社紅李建興孫銘輝馬惠康林耕國王正儀李石增
MANAGEMENT OF A COMPLICATED CASE OF MYCOBACTERIUM ABSCESSUS KERATITIS AFTER LASIK/ Jerry Chien-Chieh HuangKuan-Jen ChenMing-Hui SunJui-Yang LaiChi-Chin Sun
REFRACTIVE STATUS OF TEENAGERS IN A TAIPEI MUNICIPAL JUNIOR HIGH SCHOOL/ Hen-Shen LinLi-Ju ChenJy-Haw Yu
ENDOGENOUS AEROMONAS HYDROPHILA ENDOPHTHALMITIS/ Siu-Fung ChauYu-Chen ChenHin-Yeung Choi
INTRAVITREAL BEVACIZUMAB INJECTIONS IN CASES OF CENTRAL RETINAL VEIN OCCLUSION WITH MACULAR EDEMA-CASE SERIES/ Yung-Ray HsuJen-Shang Huang
PHOTODYNAMIC THERAPY AS PRIMARY TREATMENT FOR CHOROIDAL MELANOMA--CASE REPORT/ Chien-Chi TsengSan-Ni ChenJiunn-Feng HwangChun-Ju Lin
PATIENT SATISFACTION WITH PHACOEMULSIFICATION CATARACT SURGERY: CORRELATIONS WITH EFFECTIVE PHACO TIME, SURGICAL METHODS, AND GENERAL HEALTH STATUS IN A TERTIARY REFERRAL HOSPITAL IN SOUTHERN TAIWAN/ Yu-Hung LaiHsin-Tien HsuHwei-Zu WangShun-Jen ChangKwou-Yeung Wu
INTRAVITREAL BEVACIZUMAB THERAPY FOR THE TREATMENT OF CHOROIDAL NEOVASCULARIZATION SECONDARY TO ANGIOID STREAKS: A CASE REPORT/ I-Ting SunChih-Hsin Chen
CANALICULAR STENOSIS SECONDARY TO WEEKLY DOCETAXEL/ Chih-Heng HungI-Hua WangShun-Ling LinI-Chia LiangYu-Ying Chang
PATIENT SATISFACTION WITH PHACOEMULSIFICATION CATARACT SURGERY: CORRELATIONS WITH EFFECTIVE PHACO TIME, SURGICAL METHODS, AND GENERAL HEALTH STATUS IN A TERTIARY REFERRAL HOSPITAL IN SOUTHERN TAIWAN/ Yu-Hung LaiHsin-Tien HsuHwei-Zu WangShun-Jen ChangKwou-Yeung Wu
ACCOMMODATION AND MYOPIA/ Patrick Joi-Tsang Shum
ANTERIOR UVEITIS INDUCED BY RETAINED METALLIC FOREIGN BODY IN THE CHAMBER ANGLE AFTER MAGNETIC RESONANCE IMAGING--A CASE REPORT/ Jyh-Cheng LiouMei-Lin PengKuo-Hua Juan
MANAGEMENT OF A COMPLICATED CASE OF MYCOBACTERIUM ABSCESSUS KERATITIS AFTER LASIK/ Jerry Chien-Chieh HuangKuan-Jen ChenMing-Hui SunJui-Yang LaiChi-Chin Sun
CANALICULAR STENOSIS SECONDARY TO WEEKLY DOCETAXEL/ Chih-Heng HungI-Hua WangShun-Ling LinI-Chia LiangYu-Ying Chang
INTRAVITREAL INJECTION BEVACIZUMAB FOR VOGT-KOYANAGI-HARADA DISEASE COMPLICATED WITH MACULAR CHOROIDAL NEOVASCULIZATION--A CASE REPORT/ Shih-Hao WangYung-Jen Chen
INTRAVITREAL BEVACIZUMAB INJECTIONS IN CASES OF CENTRAL RETINAL VEIN OCCLUSION WITH MACULAR EDEMA-CASE SERIES/ Yung-Ray HsuJen-Shang Huang
玻璃體內注射腫瘤壞死因子對大鼠視網膜神經節細胞存活之影響/ 張志揚林堯泓葉明功江樵熹呂大文
ANALYSIS OF OPHTHALMOLOGY INPATIENT CONSULTATION IN A REGIONAL TEACHING HOSPITAL/ Chau-Yi TanChao-Wei ChuangKuo-Pin ChangPo-Min YangChong-Bin Tsai
REFRACTIVE STATUS OF TEENAGERS IN A TAIPEI MUNICIPAL JUNIOR HIGH SCHOOL/ Hen-Shen LinLi-Ju ChenJy-Haw Yu
前老年期白內障病患之兩眼不等視/ 李建興侯鈞賀林耕國
使用中文化眼科臨床演練評量評估學習者臨床診療行為之信度分析-初報/ 林信瓊詹社紅李建興孫銘輝馬惠康林耕國王正儀李石增
INTRAVITREAL BEVACIZUMAB THERAPY FOR THE TREATMENT OF CHOROIDAL NEOVASCULARIZATION SECONDARY TO ANGIOID STREAKS: A CASE REPORT/ I-Ting SunChih-Hsin Chen
DELAYED ORBITAL APEX SYNDROME CAUSED BY A WOODEN CHOPSTICK/ Yi-Ching ShaoMei-Ling Peng
PHOTODYNAMIC THERAPY AS PRIMARY TREATMENT FOR CHOROIDAL MELANOMA--CASE REPORT/ Chien-Chi TsengSan-Ni ChenJiunn-Feng HwangChun-Ju Lin
COMBINED ENDOGENOUS ENDOPHTHALMITIS AND MENINGITIS SECONDARY TO INFECTIOUS ENDOCARDITIS--A CASE REPORT/ Jiun-Yo LinYa-Hsin KungMay-Ching HongShwu-Jiuan Sheu
TREATMENT OF REFRACTORY BILATERAL IDIOPATHIC ORBITAL INFLAMMATION WITH ADJUNCTIVE RADIOTHERAPY/ Yu-Hao LinSang-Hue YenChieh-Chih TsaiShu-Ching KaoShui-Mei Lee
ENDOGENOUS AEROMONAS HYDROPHILA ENDOPHTHALMITIS/ Siu-Fung ChauYu-Chen ChenHin-Yeung Choi
 
   
 
   

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