The importance of measuring competency-based outcomes: Standard evaluation measures are not surrogates for clinical performance of internal medicine residents

Teaching and Learning in Medicine

Volumn 21, Issue 2, 2009, Pages 87-93

  Willett, Lisa L ^a   Heudebert, Gustavo R ^a   Palonen, Katri P ^a   Stanford Massie, F ^a   Kiefe, Catarina I ^a   Allison, Jeroan J ^a   Richman, Joshua ^a   Houston, Thomas K ^a  

^a University of Alabama at Birmingham   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDY; CURRICULUM; EDUCATION; EDUCATIONAL MODEL; FEMALE; HUMAN; INTERNAL MEDICINE; MALE; MEDICAL EDUCATION; MEDICAL SCHOOL; METHODOLOGY; OUTCOME ASSESSMENT; STANDARD; TEACHING; UNITED STATES; PROCEDURES; STANDARDS;

ADULT; ALABAMA; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; CURRICULUM; EDUCATION, MEDICAL; FACULTY, MEDICAL; FEMALE; HUMANS; INTERNAL MEDICINE; INTERNSHIP AND RESIDENCY; MALE; MODELS, EDUCATIONAL; OUTCOME ASSESSMENT (HEALTH CARE); SCHOOLS, MEDICAL; TEACHING; UNITED STATES;

EID: 70449567265     PISSN: 10401334     EISSN: None     Source Type: Journal    
DOI: 10.1080/10401330902791206     Document Type: Article

References (31)

1. Accreditation Council for Graduate Medical Education. Available at: http://www.acgme.org/outcome/. Accessed January 12, 2007.
2. Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: From Flexner to competencies. Academic Medicine 2002;77:361-7.
3. Epstein RM,Hundert EM.Defining and assessing professional competence. Journal of the American Medical Association 2002;287:226-35.
4. Epstein RM. Assessment in medical education. New England Journal of Medicine 2007;356:387-96.
5. Whitcomb ME. Competency-based graduate medical education? Of course! But how should competency be assessed? Academic Medicine 2002;77:359-60.
6. 6. Accreditation Council for Graduate Medical Education and American Board ofMedical Specialites. Toolbox of assessment methods (version 1.1). Chicago: Authors. Available at: http://www.acgme.org/Outcome/assess/Toolbox.pdf. Accessed March 8, 2006.
7. Van Der Vleuten CPM. The assessment of professional competence: Developments, research and practical implications. Advances in Health Science Education 1996;1:41-67.
8. Willett LL, Palonen K, Allison JJ, et al. Differences in preventive health quality by residency year. Is seniority better? Journal of General Internal Medicine 2005;20:825-9.
9. 9. National Committee for Quality Assurance. Healthcare Effectiveness Data and Information Set. Washington, DC: Author, 2003. Available at: http://www.ncqa.org/programs/HEDIS/02measures.pdf
10. 10. Agency for Healthcare Research and Quality. United States Preventive Services Task Force Guidelines. Rockville, MD: Author, 2003. Available at: http://www.ahrq.gov/clinic/uspstfix.htm
11. 11. Centers for Medicare and Medicade Services. MedQuest. Baltimore: Author, 2003. Available at: http://www.cms.hhs.gov/medquest/default.asp.
12. Allison JJ, Wall TC, Spettell CM, et al. The art and science of chart review. Joint Commission Journal on Quality and Improvement 2000;26:115-36.
13. Houston T,Wall T, Allison J, et al. Implementing preventive health achievable benchmarks: A controlled trial in residency education. Academic Medicine 2006;81:608.
14. Ellerbeck EF, Jencks SF, Radford MJ, et al. Quality of care for Medicare patients with acute myocardial infarction. A four-state pilot study from the Cooperative Cardiovascular Project. Journal of the American Medical Association 1995;273:1509-14.
15. Holmboe ES, Hawkins RE.Methods for evaluating the clinical competence of residents in internal medicine: A review. Annals of Internal Medicine 1998;129:42-8.
16. Swing SR. Assessing the ACGME general competencies: general considerations and assessment methods. Academic Emergency Medicine 2002;9:1278-88.
17. 17. HaberRJ,AvinsAL.Doratings on theAmerican Board of InternalMedicine Resident Evaluation Form detect differences in clinical competence? Journal of General Internal Medicine 1994;9:140-5.
18. Silber CG,Nasca TJ, PaskinDL, EigerG, RobesonM,Veloski JJ. Do global rating forms enable program directors to assess the ACGME competencies? Academic Medicine 2004;79:549-56.
19. 19. American Board of Internal Medicine. Who we are: About ABIM. Available at: http://www.abim.org/about/pp2003.htm. Accessed May 23, 2006.
20. Garibaldi RA, Subhiyah R, Moore ME, Waxman H. The In-Training Examination in internal medicine: An analysis of resident performance over time. Annals of Internal Medicine 2002;137:505-10.
21. 21. American Board of Internal Medicine. Mini-CEX. Philadelphia: Author. Available at: http://www.abim.org/pdf/paper-tools/minicex.pdf. Accessed March 8, 2006.
22. Holmboe ES, Huot S, Chung J, Norcini J, Hawkins RE. Construct validity of the miniclinical evaluation exercise (miniCEX). Academic Medicine 2003;78:826-30.
23. Holmboe E. Faculty and the observation of trainees' clinical skills: Problems and opportunities. Academic Medicine 2004;79:16-22.
24. Djuricich AM, Ciccarelli M, Swigonski NL. A continuous quality improvement curriculum for residents: Addressing core competency, improving systems. Academic Medicine 2004;79(Suppl.):S65-7.
25. Kern DE, Harris WL, Boekeloo BO, Barker LR, Hogeland P. Use of an outpatient medical record audit to achieve educational objectives: Changes in residents' performances over six years. Journal of General Internal Medicine 1990:5:218-24.
26. Keim DB, Gomez CF, Wolf A. The level of preventive health care in an internal medicine residency clinic: Still only an ounce of prevention? Southern Medical Journal 1998;91:550-5.
27. Ogrinc G, Headrick LA, Mutha S, et al. A framework for teaching medical students and residents about practice-based learning and improvement, synthesized from a literature review. Academic Medicine 2003;78:748-56.
28. Weingart SN, Tess, N, Driver J, et al. Creating a quality improvement elective for medical house officers. Journal of General Internal Medicine 2004;19:861-7.
29. Roski J, Jeddeloh R, An L, et al. The impact of financial incentives and a patient registry on preventive care quality: Increasing provider adherence to evidence-based smoking cessation practice guidelines. Preventive Medicine 2003;36:291-9.
30. Dudley RA. Pay-for-performance research: How to learn what clinicians and policy makers need to know. Journal of the American Medical Association 2005;294:1821-3.
31. 31. Accreditation Council for Graduate Medical Education. ACGME Outcome Project. Available at: http://www.acgme.org/outcome/comp/compFull.asp. Accessed May 23, 2006.