Medical students' self-assessment of performance: Results from three meta-analyses

Patient Education and Counseling

Volumn 84, Issue 1, 2011, Pages 3-9

  Blanch Hartigan, Danielle ^a  

^a NORTHEASTERN UNIVERSITY   (United States)

Author keywords

Competence; Gender; Medical education; Medical students; Self assessment; Self evaluation

Indexed keywords

ACADEMIC ACHIEVEMENT; ACCURACY; EFFECT SIZE; FEMALE; GENDER; HUMAN; INTERPERSONAL COMMUNICATION; MALE; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL STUDENT; META ANALYSIS; PERFORMANCE; PRIORITY JOURNAL; PROFESSIONAL KNOWLEDGE; SELF EVALUATION; SHORT SURVEY;

CLINICAL COMPETENCE; COMMUNICATION; EDUCATION, MEDICAL, UNDERGRADUATE; FEMALE; GENDER IDENTITY; HUMANS; MALE; QUESTIONNAIRES; SELF-ASSESSMENT; SELF-EVALUATION PROGRAMS; STUDENTS, MEDICAL;

EID: 79958754609     PISSN: 07383991     EISSN: 18735134     Source Type: Journal    
DOI: 10.1016/j.pec.2010.06.037     Document Type: Short Survey

References (62)

1. Eva K.W., Regehr G. Self-assessment in the health professions: a reformulation and research agenda. Acad Med 2005, 80:S46-S54.
2. Council of Medical Specialty Societies. Repositioning for the future of continuing medical education: a position paper from CMSS, <>; 2009 [cited 01.12.09]. http://www.cmss.org/print.cfm%3Fitemid=1034.
3. Epstein R.M. Assessment in medical education. New Engl J Med 2007, 356:387-396.
4. Batalden P., Leach D., Swing S., Dreyfus H., Dreyfus S. General competencies and accreditation in graduate medical education. Health Affair (Millwood) 2002, 21:103-111.
5. Gordon M.J. A review of the validity and accuracy of self-assessments in health professions training. Acad Med 1991, 66:762-769.
6. Ward M., Gruppen L., Regehr G. Measuring self-assessment: current state of the art. Adv Health Sci Educ Theory Pract 2002, 7:63-80.
7. Pierre R.B., Wierenga A., Barton M., Thame K., Branday J.M., Christie C.D.C. Student self-assessment in a paediatric objective structured clinical examination. W Indian Med J 2005, 54:144-148.
8. Rees C. Self-assessment scores and gender. Med Educ 2003, 37:572-573.
9. Lynn D.J., Holzer C., O'Neill P. Relationships between self-assessment skills, test performance, and demographic variables in psychiatry residents. Adv Health Sci Educ Theory Pract 2006, 11:51-60.
10. Regehr G., Eva K. Self-assessment, self-direction, and the self-regulating professional. Clin Orthop Relat R 2006, 449:34-38.
11. Davis D.A., Mazmanian P.E., Fordis M., Harrison R.V., Thorpe K.E., Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. J Amer Med Assoc 2006, 296:1094-1102.
12. Westberg J., Jason H. Fostering learners' reflection and self-assessment. Fam Med 1994, 26:278-282.
13. Rosenthal R. Meta-analytic procedures for social research 1991, Sage, Newbury Park, CA.
14. Rosenthal R. The " file drawer problem" and tolerance for null results. Psychol Bull 1979, 86:638-641.
15. Borenstein M., Hedges L., Higgins J., Rothstein H. Comprehensive meta-analysis 2005, Biostat, Englewood, NJ. 2nd ed.
16. Cohen J. Statistical power analysis for the behavioral sciences 1988, Lawrence Earlbaum Associates, Hillsdale, NJ. 2nd ed.
17. McCarty T., Parkes M.V., Anderson T.T., Mines J., Skipper B.J., Grebosky J. Improved patient notes from medical students during web-based teaching using faculty-calibrated peer review and self-assessment. Acad Med 2005, 80:S67-S70.
18. Lind D.S., Rekkas S., Bui V., Lam T., Beierle E., Copeland E.M. Competency-based student self-assessment on a surgery rotation. J Surg Res 2002, 105:31-34.
19. Peters A.S., Schimpfhauser F.T. Changes in self evaluations during third-year clinical rotations. Eval Health Prof 1990, 13:474-488.
20. Blanch D.C., Hall J.A., Roter D.L., Frankel R.M. Medical student gender and issues of confidence. Patient Educ Couns 2008, 72:374-381.
21. Moffat K.J., McConnachie A., Ross S., Morrison J.M. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ 2004, 38:482-491.
22. Sheets K.J., Gorenflo D.W., Forney M.A. Personal and behavioral variables related to perceived stress of second-year medical students. Teach Learn Med 1993, 5:90-95.
23. Bernstein J., Carmel S. Gender differences over time in medical school stressors, anxiety and the sense of coherence. Sex Roles 1991, 24:335-344.
24. Dahlin M.E., Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Med Educ 2007, 7:6.
25. Coutts L., Rogers J. Predictors of student self-assessment accuracy during a clinical performance exam: comparisons between over-estimators and under-estimators of SP-evaluated performance. Acad Med 1999, 74:S128-S130.
26. Vivekananda-Schmidt P., Lewis M., Hassell A.B., Coady D., Walker D., Kay L., et al. Validation of MSAT: an instrument to measure medical students' self-assessed confidence in musculoskeletal examination skills. Med Educ 2007, 41:402-410.
27. Das M., Mpofu D., Dunn E., Lanphear J.H. Self and tutor evaluations in problem-based learning tutorials: is there a relationship?. Med Educ 1998, 32:411-418.
28. Gruppen L.D., Garcia J., Grum C.M., Fitzgerald J.T., White C.A., Dicken L., et al. Medical students' self-assessment accuracy in communication skills. Acad Med 1997, 72:S57-S59.
29. Arnold L., Willoughby T.L., Calkins E.V. Self-evaluation in undergraduate medical education: a longitudinal perspective. J Med Educ 1985, 60:21-28.
30. Antonelli M.A. Accuracy of second-year medical students' self-assessment of clinical skills. Acad Med 1997, 72:S63-S65.
31. Kaiser S., Bauer J.J. Checklist self-evaluation in a standardized patient exercise. Am J Surg 1995, 169:418-420.
32. Herbert W.N., McGaghie W.C., Droegemueller W., Riddle M.H., Maxwell K.L. Student evaluation in obstetrics and gynecology: self- versus departmental assessment. Obstet Gynecol 1990, 76:458-461.
33. Bing-You R.G., Trowbridge R.L. Why medical educators may be failing at feedback. J Amer Med Assoc 2009, 302:1330-1331.
34. Stewart J., O'Halloran C., Barton J.R., Singleton S.J., Harrigan P., Spencer J. Clarifying the concepts of confidence and competence to produce appropriate self-evaluation measurement scales. Med Educ 2000, 34:903-909.
35. Gordon M.J. Self-assessment programs and their implications for health professions training. Acad Med 1992, 67:672-679.
36. Martin D., Regehr G., Hodges B., McNaughton N. Using videotaped benchmarks to improve self-assessment ability of family practice residents. Acad Med 1998, 73:1201-1206.
37. Rees C., Shepherd M. Students' and assessors' attitudes towards students' self-assessment of their personal and professional behaviours. Med Educ 2005, 39:30-39.
38. Minter R.M., Gruppen L.D., Napolitano K.S., Gauger P.G. Gender differences in the self-assessment of surgical residents. Am J Surg 2005, 189:647-650.
39. Albanese M., Dottl S., Mejicano G., Zakowski L., Seibert C., Van Eyck S., et al. Distorted perceptions of competence and incompetence are more than regression effects. Adv Health Sci Educ Theory Pract 2006, 11:267-278.
40. Calhoun J.G., ten Haken J.D., Woolliscroft J.O. Medical students' development of self- and peer-assessment skills: a longitudinal study. Teach Learn Med 1990, 2:25-29.
41. Calkins E.V., Willoughby T.L. Predictors of Black medical student success. J Natl Med Assoc 1992, 84:253-256.
42. Chur-Hansen A. Medical students' essay-writing skills: criteria-based self- and tutor-evaluation and the role of language background. Med Educ 2000, 34:194-198.
43. Eva K.W., Cunnington J.P.W., Reiter H.I., Keane D.R., Norman G.R. How can I know what I don't know? Poor self assessment in a well-defined domain. Adv Health Sci Educ Theory Pract 2004, 9:211-224.
44. Farnill D., Hayes S.C., Todisco J. Interviewing skills: self-evaluation by medical students. Med Educ 1997, 31:122-127.
45. Fitzgerald J.T., White C.B., Gruppen L.D. A longitudinal study of self-assessment accuracy. Med Educ 2003, 37:645-649.
46. Fitzgerald J.T., Gruppen L.D., White C.B. The influence of task formats on the accuracy of medical students' self-assessments. Acad Med 2000, 75:737-741.
47. Henbest R.J., Fehrsen G.S. Preliminary study at the Medical University of Southern Africa on student self-assessment as a means of evaluation. J Med Educ 1985, 60:66-68.
48. Kegel-Flom P. Predicting supervisor, peer, and self ratings of intern performance. J Med Educ 1975, 50:812-815.
49. Langendyk V. Not knowing that they do not know: self-assessment accuracy of third-year medical students. Med Educ 2006, 40:173-179.
50. Linn B.S., Arostegui M., Zeppa R. Performance rating scale for peer and self assessment. Brit J Med Educ 1975, 9:98-101.
51. Linn B.S., Arostegui M., Zeppa R. Peer and self assessment in undergraduate surgery. J Surg Res 1976, 21:453-456.
52. Mavis B. Self-efficacy and OSCE performance among second year medical students. Adv Health Sci Educ Theory Pract 2001, 6:93-102.
53. Morgan P.J., Cleave-Hogg D. Comparison between medical students' experience, confidence and competence. Med Educ 2002, 36:534-539.
54. Morton J.B., Macbeth W.A. Correlations between staff, peer and self assessments of fourth-year students in surgery. Med Educ 1977, 11:167-170.
55. Quest T.E., Ander D.S., Ratcliff J.J. The validity and reliability of the affective competency score to evaluate death disclosure using standardized patients. J Palliative Med 2006, 9:361-370.
56. Rezler A.G. Self-assessment in problem-based groups. Med Teach 1989, 11:151-156.
57. Rudy D.W., Fejfar M.C., Griffith C.H., Wilson J.F. Self- and peer assessment in a first-year communication and interviewing course. Eval Health Prof 2001, 24:436-445.
58. Tousignant M., DesMarchais J.E. Accuracy of student self-assessment ability compared to their own performance in a problem-based learning medical program: a correlation study. Adv Health Sci Educ Theory Pract 2002, 7:19-27.
59. Sclabassi S.E., Woelfel S.K. Development of self-assessment skills in medical students. Med Educ 1984, 18:226-231.
60. Weiss P.M., Koller C.A., Hess L.W., Wasser T. How do medical student self-assessments compare with their final clerkship grades?. Med Teach 2005, 27:445-449.
61. Woolliscroft J.O., TenHaken J., Smith J., Calhoun J.G. Medical students' clinical self-assessments: comparisons with external measures of performance and the students' self-assessments of overall performance and effort. Acad Med 1993, 68:285-294.
62. Ytterberg S.R., Harris I.B., Allen S.S., Anderson D.C., Kofron P.M., Kvasnicka J.H., et al. Clinical confidence and skills of medical students: use of an OSCE to enhance confidence in clinical skills. Acad Med 1998, 73:S103-S105.