A Signal Through the Noise: Do Professionalism Concerns Impact the Decision Making of Competence Committees?
| Autor: | Warren J Cheung, Lisa Thurgur, Jonathan Sherbino, Scott Odorizzi, A.C. Lee, Jason R. Frank |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Canada 020205 medical informatics education Advisory Committees Decision Making 02 engineering and technology Education Formative assessment 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering Humans 030212 general & internal medicine Competence (human resources) Medical education Internship and Residency General Medicine Residency program Making-of Summative assessment Professionalism Education Medical Graduate Emergency Medicine Portfolio Female Clinical Competence Psychology |
| Zdroj: | Academic medicine : journal of the Association of American Medical Colleges. 95(6) |
| ISSN: | 1938-808X |
| Popis: | PURPOSE To characterize how professionalism concerns influence individual reviewers' decisions about resident progression using simulated competence committee (CC) reviews. METHOD In April 2017, the authors conducted a survey of 25 Royal College of Physicians and Surgeons of Canada emergency medicine residency program directors and senior faculty who were likely to function as members of a CC (or equivalent) at their institution. Participants took a survey with 12 resident portfolios, each containing hypothetical formative and summative assessments. Six portfolios represented residents progressing as expected (PAE) and 6 represented residents not progressing as expected (NPAE). A professionalism variable (PV) was developed for each portfolio. Two counterbalanced surveys were developed in which 6 portfolios contained a PV and 6 portfolios did not (for each PV condition, 3 portfolios represented residents PAE and 3 represented residents NPAE). Participants were asked to make progression decisions based on each portfolio. RESULTS Without PVs, the consistency of participants giving scores of 1 or 2 (i.e., little or no need for educational intervention) to residents PAE and to those NPAE was 92% and 10%, respectively. When a PV was added, the consistency decreased by 34% for residents PAE and increased by 4% for those NPAE (P = .01). CONCLUSIONS When reviewing a simulated resident portfolio, individual reviewer scores for residents PAE were responsive to the addition of professionalism concerns. Considering this, educators using a CC should have a system to report, collect, and document professionalism issues. |
| Databáze: | OpenAIRE |
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