Evaluación de competencias en farmacología: desarrollo y validación de una rúbrica para discusión de casos clínicos en estudiantes de una escuela de medicina humana

Q2 Social Sciences

Educacion Medica Pub Date : 2025-08-05 DOI:10.1016/j.edumed.2025.101084

Maritza D. Placencia-Medina , Jenny Torres Malca , Julián Villarreal Valerio , Javier Silva-Valencia , María Muñoz Zambrano , Carlos H. Contreras-Pizarro , Sebastian Hurtado-Muñoz , Victor Vera Ponce

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引用次数: 0

Abstract

Introduction

The rubric is a tool that comprehensively evaluates the competencies that a student must achieve in a given area. The understanding and application of pharmacology are essential for establishing an appropriate therapeutic plan. Therefore, the objective of this study is to analyze the evidence of validity and reliability of a competency-based assessment rubric for clinical case discussions in pharmacology.

Methods

Descriptive cross-sectional serial study. Content validation was carried out by a panel of 16 experts. The rubric was applied to 137 medical students from the National University of San Marcos (Lima, Peru) who were taking the Pharmacology course. Internal consistency was assessed using Cronbach's alpha coefficient, and inter-rater reliability was evaluated using the intraclass correlation coefficient (ICC). Scores were compared using the paired Student's t-test.

Results

A high degree of agreement was found among the experts (Aiken's V = 0.91), adequate internal consistency scores (α = 0.767), and inter-rater reliability (ICC = 0.765). A significant increase in scores was observed as the Pharmacology course progressed (first half of the course = 13.99 ± 0.14; second half = 14.32 ± 0.18; p = 0.005).

Conclusion

The data support the validity of the rubric for assessing competencies in clinical case discussions in pharmacology. It is essential to continue developing validated assessment tools, especially as pharmacology advances toward a competency-based approach.

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药理学能力评估：开发和验证人体医学院学生临床病例讨论指南

该评分标准是一种综合评估学生在某一特定领域必须达到的能力的工具。对药理学的理解和应用是制定适当的治疗方案的必要条件。因此，本研究的目的是分析药理学临床病例讨论中基于能力的评估准则的有效性和可靠性的证据。方法采用描述性横断面系列研究。内容验证由16名专家组成的小组进行。该标准适用于来自圣马科斯国立大学（秘鲁利马）的137名正在学习药理学课程的医学生。采用Cronbach’s alpha系数评估内部一致性，采用类内相关系数（ICC）评估组间信度。使用配对学生t检验比较得分。结果专家之间的一致性程度较高（Aiken的V = 0.91），内部一致性得分较高（α = 0.767），评估间信度较高（ICC = 0.765）。随着药理学课程的进展，分数显著增加(课程前半部分 = 13.99 ± 0.14；下半年 = 14.32 ± 0.18; = 0.005页)。结论本研究数据支持药理学临床病例讨论能力评价标准的有效性。继续开发有效的评估工具是至关重要的，特别是当药理学朝着基于能力的方法发展时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Educacion Medica Social Sciences-Education

CiteScore

2.60

自引率

0.00%

发文量

审稿时长

63 days

期刊介绍： Educación Médica, revista trimestral que se viene publicando desde 1998 es editada desde enero de 2003 por la Fundación Educación Médica. Pretende contribuir a la difusión de los estudios y trabajos que en este campo se están llevando a cabo en todo el mundo, pero de una manera especial en nuestro entorno. Los artículos de Educación Médica tratarán tanto sobre aspectos prácticos de la docencia en su día a día como sobre cuestiones más teóricas de la educación médica. Así mismo, la revista intentará proporcionar análisis y opiniones de expertos de reconocido prestigio internacional.