Influence of Clinical Competency Committee Review Process on Summative Resident Assessment Decisions

Journal of Graduate Medical Education
Daniel J SchumacherMembers of the APPD LEARN CCC Study Group

Abstract

Clinical Competency Committees (CCCs) are charged with making summative assessment decisions about residents. We explored how review processes CCC members utilize influence their decisions regarding residents' milestone levels and supervisory roles. We conducted a multisite longitudinal prospective observational cohort study at 14 pediatrics residency programs during academic year 2015-2016. Individual CCC members biannually reported characteristics of their review process and Accreditation Council for Graduate Medical Education milestone levels and recommended supervisory role categorizations assigned to residents. Relationships among characteristics of CCC member reviews, mean milestone levels, and supervisory role categorizations were analyzed using mixed-effects linear regression, reported as mean differences with 95% confidence intervals (CIs), and Bayesian mixed-effects ordinal regression, reported as odds ratios (ORs) and 95% credible intervals (CrIs). A total of 155 CCC members participated. Members who provided milestones or other professional development feedback after CCC meetings assigned significantly lower mean milestone levels (mean 1.4 points; CI -2.2 to -0.6; P < .001) and were significantly less likely to reco...Continue Reading

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Citations

Jun 7, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Stanley J HamstraEric S Holmboe
Jan 29, 2020·Medical Education·Rachael PackSayra Cristancho
Apr 18, 2019·Journal of General Internal Medicine·Annabel K FrankKaren E Hauer
Aug 10, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Alan SchwartzRobert Englander
May 4, 2021·Journal of Graduate Medical Education·Karen E HauerEric Warm
Jun 22, 2021·Medical Education·Anita AcaiRanil R Sonnadara

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