Thresholds and interpretations: How clinical competency committees identify pediatric residents with performance concerns

Autor:	Natalie J. Burman, Jon F. McGreevy, Sue E Poynter, Su-Ting Terry Li, Michelle Barnes, Daniel J. Sklansky, Beth King, Catherine D. Michelson, Javier A. Gonzalez del Rey, Alan Schwartz, Sean P. Elliott, Sharon Calaman, Kathleen Gibbs, Caren Gellin, Lynn C. Garfunkel, John G. Frohna, Tanvi Sharma, Daniel J. Schumacher, Kathleen W. Bartlett, Shannon E. Scott-Vernaglia, Lynn Thoreson
Rok vydání:	2018
Předmět:	Medical education Educational measurement 020205 medical informatics education Internship and Residency 02 engineering and technology General Medicine Documentation Pediatrics United States Education 03 medical and health sciences 0302 clinical medicine Reference Values Reference values 0202 electrical engineering electronic engineering information engineering Humans 030212 general & internal medicine Clinical Competence Educational Measurement Clinical competence Psychology
Zdroj:	Medical teacher. 40(1)
ISSN:	1466-187X
Popis:	Clinical competency committee (CCC) identification of residents with performance concerns is critical for early intervention.Program directors and 94 CCC members at 14 pediatric residency programs responded to a written survey prompt asking them to describe how they identify residents with performance concerns. Data was analyzed using thematic analysis.Six themes emerged from analysis and were grouped into two domains. The first domain included four themes, each describing a path through which residents could meet or exceed a concern threshold:1) written comments from rotation assessments are foundational in identifying residents with performance concerns, 2) concerning performance extremes stand out, 3) isolated data points may accumulate to raise concern, and 4) developmental trajectory matters. The second domain focused on how CCC members and program directors interpret data to make decisions about residents with concerns and contained 2 themes: 1) using norm- and/or criterion-referenced interpretation, and 2) assessing the quality of the data that is reviewed.Identifying residents with performance concerns is important for their education and the care they provide. This study delineates strategies used by CCC members across several programs for identifying these residents, which may be helpful for other CCCs to consider in their efforts.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e8dff711a8fda94ee3af75d513e1bec5 https://pubmed.ncbi.nlm.nih.gov/29345207 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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