Article

OBJECTIVES: To assess the psychometric qualities of a method of resident
physician evaluation by faculty. DESIGN: Multicenter study by seven Physical
Medicine and Rehabilitation training programs. Faculty physicians observed
residents in brief patient encounters or teaching sessions, rated specific
competencies, and provided residents with immediate feedback. The resident
observation and competency assessment form included competencies in patient care,
professionalism, interpersonal and communication skills, systems-based practice,
and practice-based learning and improvement. Residents and faculty rated
satisfaction with the process. RESULTS: Three hundred sixty-two ratings were
completed on 88 different residents. Each resident received an average of 3.8
ratings across two academic years. Overall internal consistency reliability was
high (0.98); reliability of the individual competencies ranged from 0.74 to 0.76.
Item means were correlated with year of training for two skill sets, with higher
means for more experienced residents. The majority of participants gave high
ratings of satisfaction; correlation between satisfaction ratings of attending
and resident physicians was 0.63 (P < 0.01).
CONCLUSIONS: The resident
observation and competency assessment is a reliable method to assess resident
skills in five of six general competencies. Construct validity of the tool is
supported by the fact that faculty rated two skill sets higher for senior residents.

Langue : ANGLAIS