Assessing competence in emergency medicine trainees: An overview of effective methodologies

Canadian Journal of Emergency Medicine

Volumn 10, Issue 4, 2008, Pages 365-371

  Sherbino, Jonathan ^a   Bandiera, Glen ^b   Frank, Jason R ^c  

^a MCMASTER UNIVERSITY   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF OTTAWA   (Canada)

Author keywords

Assessment; Competency; Emergency medicine; Evaluation Abstract; Medical education

Indexed keywords

CLINICAL ASSESSMENT; CLINICAL ASSESSMENT TOOL; CLINICAL COMPETENCE; CLINICAL EDUCATION; EMERGENCY MEDICAL SERVICES EDUCATION; EMERGENCY MEDICINE; EXPERIENTIAL LEARNING; MEDICAL EDUCATION; MEDICAL RECORD REVIEW; OUTCOME OF EDUCATION; PATIENT ASSESSMENT; PROBLEM BASED LEARNING; REVIEW; SELF EVALUATION; STANDARDIZATION;

EID: 54349091390     PISSN: 14818035     EISSN: 14818035     Source Type: Journal    
DOI: 10.1017/S1481803500010381     Document Type: Review

References (43)

1. Kane MT. The assessment of professional competence. Eval Health Prof 1992;15:163-82.
2. Epstein RM. Assessment in medical education. N Engl J Med 2007;356:387-96.
3. Gray JA. Continuing medical education: retooling and renaissance. Lancet 1986;1:1261-2.
4. Leach DC. Competence is a habit. JAMA 2002;287:243-4.
5. Neufeld VR, Maudsley R, Pickering J, et al. Educating future physicians for Ontario. Acad Med 1998;73:1133-48.
6. The CanMEDS Project. Canadian Medical Education Directions for Specialists. Royal College of Physicians and Surgeons, Canada. Available: http://rcpsc.medical.org (accessed 2007 Feb 8).
7. Four Principles of Family Medicine. Available: www.cfpc.ca (accessed 2007 Feb 8).
8. Murray EL, Gruppen P, Catton R, et al. The accountability of clinical education; its definition and assessment. Med Educ 2000;23:871-9.
9. Irvine D. Doctors in the UK: their new professionalism and its regulatory framework. Lancet 2001;358:1807-10.
10. CPSA. Physician Achievement Review Program. Available: www.cpsa.ab.ca (accessed 2007 Feb 8).
11. Brown N, Parry E, Oyebode F. Appraisal for consultant medical staff. Adv Psychiatr Treat 2003;9:152-8.
12. Alternative routes to certification for IMGs. The Royal College of Physicians and Surgeons of Canada. Available: http://rcpsc.medical.org/ residency/certification/img_e.php (accessed 2007 Mar 4).
13. Airasian P. Classroom assessment. 3rd ed. New York (NY): McGraw-Hill; 1997.
14. Epstein RM, Hundert E. Defining and assessing professional competence. JAMA 2002;287:226-34.
15. Leinster S. Assessment in medical training. Lancet 2003;362: 1770.
16. Abrahamson S, Nyquist J. Deciding how to evaluate competence. In: Lloyd J, Langsely D, Editors. How to evaluate residents. Chicago (11): American Board of Medical Specialties; 1986. p. 45-56.
17. Wass V, Van der Vleuten C, Shatzer J, et al. Assessment of clinical competence. Lancet 2001;357:945-9.
18. Bandiera G, Sherbino J, Frank J. The CanMEDS Assessment Tools Handbook: An introductory guide to assessment methods for the CanMEDS Competencies. Ottawa (ON): Royal College of Physicians and Surgeons of Canada; 2006.
19. Wood T, Cole G. Developing multiple choice questions for the RCPSC certification examinations. Ottawa (ON): Office of Education, Royal College of Physicians and Surgeons of Canada; 2004.
20. Downing S. Assessment of knowledge with written test forms, in international handbook of research in medical education. In: Norman G, van der Vleuten C, Newble D, Editors. Dordrecht (Holland): Kluwer Academic Publishers; 2002. p. 647-72.
21. Coderre SP, Harasym P, Mandin H, et al. The impact of two multiple-choice question formats on the problem-solving strategies used by novices and experts. BMC Med Educ 2004;4:23.
22. Short Answer Questions. Guidelines for their development. Educational Research and Development Unit. Ottawa (ON): Royal College of Physicians and Surgeons of Canada; 2000.
23. Assessing clinical reasoning: the oral examination and alternative methods. In Mancall E, Bashook P, Editors. Evanston (IL): American Board of Medical Specialties; 1995.
24. Cunnington JP, Hanna E, Turnhbull J, et al. Defensible assessment of the competency of the practicing physician. Acad Med 1997;72:9-12.
25. Turnbull J, Van Barneveld C, Assessment of clinical performance: in-training evaluation, in international handbook of research in medical education, In: Norman G, van der Vleuten C, Editors. Dordrecht (Holland): Kluwer Academic Publishers; 2002, p. 793-810.
26. Gray JD. Global rating scales in residency education. Acad Med 1996;71 (Suppl):S55-63.
27. Streiner DL. Global Rating Scales. In: Neufeld VR, Norman GR, Editors. Assessing Clinical Competence. New York (NY): Springer Verlag; 1985. p. 119-41.
28. Bandiera GW, Morrison LJ, Regehr G. Predictive validity of the Global Assessment Form used in a final-year undergraduate rotation in emergency medicine. Acad Emerg Med 2002;9:889-95.
29. Weaver CS, Humbert AJ, Besinger BR, et al. A more explicit grading scale decreases grade inflation in a clinical clerkship. Acad Emerg Med 2007;14:283-6.
30. Norcini JJ, Blank L, Duffy F, et al. The mini-CEX: a method for assessing clinical skills. Ann Intern Med 2003;138:476-81.
31. Ziv A, Wolpe P, Small S, et al. Simulation-based medical education: an ethical imperative. Acad Med 2003;78:783-8.
32. Lee C. Objective structured clinical examinations (OSCEs) and objective structured performance-related examinations (OSPREs). In: Bandiera G, Sherbino J, Frank J, Editors. The CanMEDS Assessment Tools Handbook: an introductory guide to assessment methods for the CanMEDS Competencies. Ottawa (ON): Royal College of Physicians and Surgeons of Canada; 2006. p. 23-5.
33. Hodges BD. The objective structured clinical examination: three decades of development. J Vet Med Educ 2006;33:571-7.
34. van der Vleuten C, Swanson D. Assessment of clinical skills with standardized patients: state of the art. Teach Learn Med 1990;2:58-76.
35. Rodgers KG, Manifold C. 360-degree feedback: possibilities for assessment of the ACGME core competencies for emergency medicine residents. Acad Emerg Med 2002;9:1300-4.
36. Matthews D, Feinstein A. A new instrument for patients' ratings of physician performance in the hospital setting. J Gen Intern Med 1989;4:4-22.
37. Parboosingh J. Role of self-assessment in identification of learning needs. J Contin Educ Health Prof 1998;18:213-9.
38. Eva KW, Regehr G. Self-assessment in the health professions: a reformulation and research agenda. Acad Med 2005; 80(Suppl): S46-54.
39. Regehr G, Eva K. Self-assessment, self-direction, and the self-regulating professional. Clin Orthop Relat Res 2006;449:34-8.
40. O'Sullivan P, Greene C. Portfolios: possibilities for addressing emergency medicine resident competencies. Acad Emerg Med 2002;9:1305-9.
41. Hunskaar S, Heim SH. Assessment of student's experiences in technical procedures in a medical clerkship. Med Educ 1983;17: 300-9.
42. Lim TO, Soraya A, Ding L, et al. Assessing doctors' competence: application of CUSUM technique in monitoring doctors' performance. Int J Qual Health Care 2002;14:251-8.
43. Tugwell P, Dok C. Medical record review. In: Berk R, editor. Performance assessment: methods and applications. Baltimore (MD): Johns Hopkins University; 1986. p. 51-70.