Thresholds and interpretations: How clinical competency committees identify pediatric residents with performance concerns.
Med Teach
; 40(1): 70-79, 2018 01.
Article
em En
| MEDLINE
| ID: mdl-29345207
ABSTRACT
BACKGROUND:
Clinical competency committee (CCC) identification of residents with performance concerns is critical for early intervention.METHODS:
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.RESULTS:
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 threshold1) 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.CONCLUSIONS:
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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Competência Clínica
/
Avaliação Educacional
/
Internato e Residência
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article