The unintended consequences of portfolios in graduate medical education

Academic Medicine

Volumn 84, Issue 11, 2009, Pages 1522-1526

  Nagler, Alisa ^a   Andolsek, Kathryn ^a   Padmore, Jamie S ^b  

^a DUKE UNIVERSITY HOSPITAL   (United States)

^b MEDSTAR HEALTH RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; CONTINUING EDUCATION; DOCUMENTATION; EXPERIENCE; HUMAN; LEGAL LIABILITY; MEDICAL EDUCATION; MEDICAL INFORMATION; PERFORMANCE; PHYSICIAN; PORTFOLIO; PRIORITY JOURNAL; PRIVACY; RESIDENCY EDUCATION; RESIDENT; REVIEW; SCREENING TEST;

EID: 70449379689     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3181bb2636     Document Type: Review

References (32)

1. Snadden D, Thomas ML. Portfolio learning in general practice vocational training-Does it work? Med Educ. 1998;32:401-406. (Pubitemid 28391231)
2. Carraccio C, Engladner R. Evaluating competence using a portfolio: A literature review and Web-based application to the ACGME competencies. Teach Learn Med. 2004;16:381-387.
3. Clay AS, Petrusa E, Harker M, Andolsek K. Development of a Web-based, specialty specific portfolio. Med Teach. 2007;29: 311-316.
4. Holmboe ES, Rodak W, Mills G, McFarlane MJ, Schultz HJ. Outcomes-based evaluation in resident education: Creating systems and structured portfolios. Am J Med. 2006;119: 708-714.
5. Challis M, Mathers NJ, Howe AC. Portfoliobased learning: Continuing medical education for general practitioners-A mid-point evaluation. Med Educ. 1997;31: 22-26.
6. Lewis KO, Baker RC. The development of an electronic educational portfolio: An outline for medical education professionals. Teach Learn Med. 2007;19:139-147.
7. Branch W, Paranjape A. Feedback and reflection: Teaching methods for clinical settings. Acad Med. 2002;77:1185-1188.
8. Eva KW, Regehr G. Self-assessment in the health professions: A reformulation and research agenda. Acad Med. 2005;80: 46-54.
9. Kalet AL, Sanger J, Chase J, et al. Promoting professionalism through an online professional development portfolio: Successes, joys, and frustrations. Acad Med. 2007;82:1065-1072.
10. Wilkinson TJ, Challis M, Hobma SO, et al. The use of portfolios for assessment of the competence and performance of doctors in practice. Med Educ. 2002;36:918-924.
11. Colbert CY, Ownby AR, Butler PM. A review of portfolio use in residency programs and considerations before implementation. Teach Learn Med. 2008;20:340-345.
12. ACGME Outcomes Project, Accreditation Council for Graduate Medical Education; American Board of Medical Specialties. Toolbox of Assessment Methods. Available at: (http://www.acgme.org/Outcome/assess/ Toolbox.pdf). Accessed June 26, 2009.
13. Accreditation Council for Graduate Medical Education. The ACGME Learning Portfolio. Available at: (http://www.acgme.org/acwebsite/ portfolio/learn-cbpac. asp). Accessed June 26, 2009.
14. Epstein R. Assessment in medical education. N Engl J Med. 2007;356:387-396.
15. Driessen EW, Muijtjens AM, van Tarwijk J, van der Vleuten CP. Web- or paper-based portfolios: Is there a difference? Med Educ. 2007;41:1067-1073.
16. Driessen E. Are learning portfolios worth the effort? Yes. BMJ. 2008;337:a513.
17. Norman G. Are learning portfolios worth the effort? No. BMJ. 2008;337:a514.
18. Hrisos S, Illing JC, Burford BC. Portfolio learning for foundation doctors: Early feedback on its use in the clinical workplace. Med Educ. 2008;42:214-223.
19. Kjaer NK, Maagaard R, Wied S. Using an online portfolio in postgraduate training. Med Teach. 2006;28:708-712.
20. Chisholm CD, Croskerry P. A case study in medical error: The use of the portfolio entry. Acad Emerg Med. 2004;11:388-392.
21. Singh R, Naughton B, Taylor JS. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Med Educ. 2005;39: 1195-1204.
22. Accreditation Council for Graduate Medical Education. Competency-Based Learning Portfolio Advisory Committee Status Report. Available at: (http://www.acgme.org/acwebsite/ portfolio/cbpac-memo.pdf). Accessed June 25, 2009.
23. Accreditation Council for Graduate Medical Education. ACGME competencies: Suggested best methods for evaluation. Available at: (http://www.acgme.org/ Outcome/assess/ ToolTable.pdf). Accessed June 25, 2009.
24. Accreditation Council for Graduate Medical Education. Protecting Residency Programs' ACGME Compliance Documents From Disclosure Under State Public Records Acts. Available at: (http://www.acgme.org/acWebsite/ positionPapers/pp-PublicRecordsActs.pdf). Accessed June 25, 2009.
25. Adkins v Hospital Authority of Houston County, 2006 U.S. Dist. LEXIS 25668.
26. Webb v. Mount Sinai Hosp. and Medical Center of Chicago, 347 Ill.App. 3d 817. See also Giangiulio v. Ingalls Memorial Hospital, 365 Ill. App. 3d 823, 850 N.E. 2d 249, 302 Ill. Dec. 812; 2006.
27. Roach v Springfield Clinic, 157 Ill. 2d. 29; 623 N.E. 2d 246;1993.
28. Beall D. Protecting resident performance evaluations under peer review immunity law. JAMA. 1998;280:192.
29. Pietro v. Marriott Senior Living Services, 348 Ill. App. 3d 541; 810 N.E. 2d 217; 2004.
30. Ervin v. Howard University et al, Civil Action No. 04-1632; 2006. Available at: (https://ecf. dcd.uscourts.gov/cgi-bin/show-public-doc? 2004cv1632-26). Accessed August 15, 2009.
31. Eva KW, Regehr G. Knowing when to look it up: A new conception of self-assessment ability. Acad Med. 2007;82(10 suppl): S81-S84.
32. Kohn LT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.