Forecasting Residents??? Performance???Partly Cloudy
- 1 May 2005
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Academic Medicine
- Vol. 80 (5), 415-422
- https://doi.org/10.1097/00001888-200505000-00002
Abstract
The authors offer a practical guide for improving the appraisal of a resident's performance. They identify six major factors that compromise the process of observing, measuring, and characterizing a resident's current performance, forecasting future performance, and making decisions about the resident's progress. Factors that compromise any of these steps lead to individual and collective uncertainty and decrease faculty confidence when making decisions on a resident's progress. The six factors, addressed in order of importance, are inaccuracies due to (1) incomplete sampling of performance, (2) rater memory constraints, (3) hidden performance deficits of the resident, (4) lack of performance benchmarks, (5) faculty members' hesitancy to act on negative performance information, and (6) systematic rater error. The description of each factor is followed by a number of specific suggestions on what residency programs can do to eliminate or minimize the impact of these factors. While this article is couched in the context of the performance evaluation of residents, everything included pertains to measuring and appraising medical students' and practicing physicians' clinical performance as well.Keywords
This publication has 31 references indexed in Scilit:
- Assuring the reliability of resident performance appraisals: More items or more observations?Surgery, 2005
- Do Individual Attendings’ Post-rotation Performance Ratings Detect Residents’ Clinical Performance Deficiencies?Academic Medicine, 2004
- SPECIAL ARTICLE: Cognitive, Social and Environmental Sources of Bias in Clinical Performance RatingsTeaching and Learning in Medicine, 2003
- A comprehensive examination for senior surgical residentsThe American Journal of Surgery, 2000
- Simulation Technology for Health Care Professional Skills Training and AssessmentJAMA, 1999
- Psychometric Properties of Multisource Performance Ratings: A meta-Analysis of Subordinate, Supervisor, Peer, and Self-RatingsHuman Performance, 1997
- Comparative analysis of the reliability of job performance ratings.Journal of Applied Psychology, 1996
- Assessing Clinical Skills of Residents with Standardized PatientsAnnals of Internal Medicine, 1986
- A factor analysis study of performance of first-year residentsAcademic Medicine, 1986
- Medical problem-solvingAcademic Medicine, 1981