EVALUATING GENERALIST EDUCATION-PROGRAMS - A CONCEPTUAL-FRAMEWORK

被引：7

作者：

RUBENSTEIN, LV

FINK, A

GELBERG, L

BERKOWITZ, C

ROBBINS, A

INUI, TS

BITHONEY, W

BLANK, L

CHARNEY, E

ENDE, J

HARRIS, DL

MCCARTHY, P

SHELOV, SP

SWEE, D

机构：

[1] the Department of Medicine, University of California, Los Angeles (UCLA), Los Angeles, California

[2] the VHAMC Sepulveda, Sepulveda, California

[3] Rand, Santa Monica, California

[4] the Division of Family Medicine, UCLA

[5] the Department of Pediatrics, Harbor UCLA Medical Center, UCLA School of Medicine, Los Angeles, California

[6] the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Community Health Plan, Boston, Massachusetts

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1994年 / 9卷 / 04期

关键词：

PROGRAM EVALUATION; GENERALIST; GENERALIST COMPETENCES;

D O I：

10.1007/BF02598120

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This paper provides and applies a conceptual framework and a list of guiding principles for evaluation of generalist education programs. Programs are systematic efforts to achieve specified objectives. Evaluations gather data in order to improve or appraise programs and have a continuum of purposes and methods. Descriptive evaluations characterize the structures, processes, and outcomes of programs; research evaluations definitively assess the effectiveness of a program in terms of outcomes. Intermediate outcomes are changes in knowledge, attitudes, and skills of program participants; conclusive outcomes reflect the quality of performance of graduates in actual clinical situations, Outcomes are affected by inputs- the qualities of students entering the program. Guiding principles of program evaluation ensure that data gathered are useful. The authors illustrate the guiding principles with an actual pilot study that determined that expert pediatricians, general internists, and family practitioners could agree on key generalist competencies and that explores evaluation design based on these competencies. Finally, they consider the implications of undertaking generalist education evaluation.

引用

页码：S64 / S72

页数：9

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