Medical students' clinical self-assessments: comparisons with external measures of performance and the students' self-assessments of overall performance and effort

Academic Medicine : Journal of the Association of American Medical Colleges
J O WoolliscroftJ G Calhoun

Abstract

To find predictors of students' initial self-assessments of their clinical performances, the predictive value of their self-assessments, and factors that relate to their final self-assessments. Of the 142 third-year students at the University of Michigan Hospital in 1988-89, 137 (96%) completed a self-assessment questionnaire on the first day of their internal medicine clerkship and a slightly expanded questionnaire on the last day. The questionnaires asked the students to use Likert-type scales to rate their abilities regarding clinical skills, use of knowledge in the clinical setting, and discharge of patient care responsibilities. Also collected were data on the students' performances as measured externally: college grade-point averages; standardized examinations taken before, during, and after the clerkship; and ratings given the students by the faculty and residents with whom they worked in the clerkship. Pearson product-moment correlations were then calculated between the students' self-assessment ratings and their scores on the external measures of performance. Weak to absent correlations were found between prior-performance measures and initial self-assessments. The lower-performing students, as measured by college grad...Continue Reading

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