Evaluation of a novel assessment form for observing medical residents: a randomised, controlled trial

Medical Education
Anthony A DonatoEric S Holmboe

Abstract

Teaching faculty cannot reliably distinguish between satisfactory and unsatisfactory resident performances and give non-specific feedback. This study aimed to test whether a novel rating form can improve faculty accuracy in detecting unsatisfactory performances, generate more rater observations and improve feedback quality. Participants included two groups of 40 internal medicine residency faculty staff. Both groups received 1-hour training on how to rate trainees in the mini-clinical evaluation exercise (mini-CEX) format. The intervention group was given a new rating form structured with prompts, space for free-text comments, behavioural anchors and fewer scoring levels, whereas the control group used the current American Board of Internal Medicine Mini-CEX form. Participants watched and scored six scripted videotapes of resident performances 2-3 weeks after the training session. Intervention group participants were more accurate in discriminating satisfactory from unsatisfactory performances (85% versus 73% correct; odds ratio [OR] 2.13, 95% confidence interval [CI] 1.16-3.14, P = 0.02) and yielded more correctly identified unsatisfactory performances (96% versus 52% correct; OR 25.35, 95% CI 9.12-70.46), but were less accura...Continue Reading

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Citations

Dec 2, 2010·Advances in Health Sciences Education : Theory and Practice·David A CookV Shane Pankratz
May 15, 2012·Advances in Health Sciences Education : Theory and Practice·Peter YeatesKevin Eva
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Jul 30, 2015·Journal of Graduate Medical Education·Anthony A DonatoRachel Yudkowsky
Jul 29, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Jennifer R KoganEric S Holmboe
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Sep 29, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Siddharta G ReddyEric S Holmboe
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Jul 30, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Lisa N ConfortiJennifer R Kogan
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May 21, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Laura A McEwenKaren Schultz
Oct 20, 2020·Medical Teacher·Satid ThammasitboonParthasarathy Krishnamurthy

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