Perceptions of scheduled vs. unscheduled directly observed visits in an internal medicine residency outpatient clinic

BMC Medical Education
Joanna ReaMajken Wingo

Abstract

Learners may subconsciously change their behavior once they know they are being observed, and this Hawthorne effect should be considered when designing assessments of learner behavior. While there is a growing body of literature to suggest direct observation is the ideal standard for formative assessment, the best method to directly observe learners is unknown. We explored scheduled and unscheduled methods of direct observation among internal medicine residents in the outpatient continuity clinic to advance the understanding of both observation methods. We conducted a thematic analysis of faculty and internal medicine residents in an outpatient clinic setting. A semi-structured interview guide for focus group sessions was created. Focus groups were used to explore the internal medicine resident and core teaching faculty perceptions of the scheduled and unscheduled direct observation methods in the outpatient clinc. An experienced qualitative research interviewer external to the internal medicine residency was moderating the sessions. Eight peer focus groups were held. Abstraction of themes from focus group transcripts identified resident and faculty perceptions of the different observation methods. Focus groups had 14 resident ...Continue Reading

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Citations

Sep 9, 2020·Medical Education·Christopher R StephensonEmily L Leasure
Nov 30, 2020·Journal of Evaluation in Clinical Practice·Emily C AlbertoRandall S Burd

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