Resident physician well-being and assessments of their knowledge and clinical performance

Journal of General Internal Medicine

Volumn 27, Issue 3, 2012, Pages 325-330

  Beckman, Thomas J ^a   Reed, Darcy A ^a   Shanafelt, Tait D ^a   West, Colin P ^a  

^a MAYO CLINIC   (United States)

Author keywords

Assessment; Empathy; Graduate medical education; Well being

Indexed keywords

ADULT; ARTICLE; BURNOUT; CLINICAL ASSESSMENT TOOL; DEPRESSION; EMPATHY; FATIGUE; FEMALE; HEALTH PRACTITIONER; HEALTH SURVEY; HUMAN; IN TRAINING EXAMINATION; INTERPERSONAL COMMUNICATION; INTERPERSONAL REACTIVITY INDEX; MAJOR CLINICAL STUDY; MALE; MASLACH BURNOUT INVENTORY; MEDICAL EDUCATION; MINI CLINICAL EVALUATION EXERCISE EVALUATION; PEER GROUP; PROFESSIONAL COMPETENCE; PROFESSIONAL KNOWLEDGE; QUALITY OF LIFE; RESIDENT; SHORT FORM 8; TASK PERFORMANCE; WELLBEING;

ADULT; ATTITUDE OF HEALTH PERSONNEL; BURNOUT, PROFESSIONAL; CLINICAL COMPETENCE; EDUCATIONAL MEASUREMENT; FEMALE; HUMANS; INTERNAL MEDICINE; INTERNSHIP AND RESIDENCY; MALE; MEDICAL ERRORS; PHYSICIANS; RETROSPECTIVE STUDIES; UNITED STATES; YOUNG ADULT;

EID: 84862519574     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-011-1891-6     Document Type: Article

References (60)

1. ACGME. ACGME outcome project. 2004; www.acgme.org/outcome/.
2. Beckman TJ, Reed DA, Shanafelt TD, West CP. Impact of resident wellbeing and empathy on assessments of faculty physicians. J Gen Intern Med. 2010;25:52-6.
3. Beckman TJ, Mandrekar JN. The interpersonal, cognitive and efficiency domains of clinical teaching: construct validity of a multidimensional scale. Med Educ. 2005;39:1221-9.
4. Beckman TJ, Cook DA, Mandrekar JN. Factor instability of clinical teaching assessment scores among general internists and cardiologists. Med Educ. 2006;40:1209-16.
5. Mitchell M, Srinivasan M, West DC, et al. Factors affecting resident performance: development of a theoretical model and a focused literature review. Acad Med. 2005;80:376-9.
6. Girard DE, Hickam DH. Predictors of clinical performance among internal medicine residents. J Gen Intern Med. 1991;6:150-4.
7. West C, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA.2011;306:952-60.
8. West CP, Shanafelt TD, Cook DA. Lack of association between resident doctors' well-being and medical knowledge. Med Educ. 2010;44:1224-31.
9. de Oliveira Filho GR, Vieira JE. The relationship of learning environment, quality of life, and study strategies measures to anaesthesiology resident academic performance. Anesth Analg. 2007;104:1467-72.
10. West CP, Huntington JL, Huschka MM, et al. A prospective study of the relationship between medical knowledge and professionalism among internal medicine residents. Acad Med. 2007;82:587-92.
11. Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med. 2005;165:2601-6.
12. West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy. JAMA. 2006;296:1071-8.
13. Beckman TJ, Lee MC. Proposal for a collaborative approach to clinical teaching. Mayo Clin Proc. 2009;84:339-44.
14. Williams GC, Wiener MW, Markakis KM, Reeve JM, Deci EL. Medical students' motivation for internal medicine. J Gen Intern Med. 1994;9:327-33.
15. Wortham S. The interdependence of social identification and learning. Am Educ Res J. 2004;41:715-50.
16. Haidet P, Stein HF. The role of the student-teacher relationship in the formation of physicians. The hidden curriculum as process. J Gen Intern Med. 2006;21:S16-20.
17. Shanafelt TD, West C, Zhao X, et al. Relationship between increased personal well-being and enhanced empathy among internal medicine residents. J Gen Intern Med. 2005;20:559-64.
18. Messick S. Validity of psychological assessment. Validation of inferences from persons' responses and performances as scientific inquirey into score meaning. Am Psychol. 1995;50:741-9.
19. Downing SM. Validity: on the meaningful interpretation of assessment data. Medical Education. 2003;37:830-7.
20. Beckman TJ, Cook DA, Mandrekar JN. What is the validity evidence for assessments of clinical teaching? J Gen Intern Med. 2005;20:1159-64.
21. Beckman TJ, Ghosh AK, Cook DA, Erwin PJ, Mandrekar JN. How reliable are assessments of clinical teaching? A review of the published instruments. J Gen Intern Med. 2004;19:971-7.
22. Gudex C, Dolan P, Kind P, Williams A. Health state valuations from the general public using the visual analog scale. Qual Life Res. 1996;5:521-31.
23. Spitzer WO, Dobson AJ, Hall J, et al. Measuring the quality of life in cancer patients: a concise QL-index for use by physicians. J Chron Dis. 1981;34:585-97.
24. Rummans TA, Clark MM, Sloan JA, et al. Impacting quality of life for patients with advanced cancer with a structured multidisciplinary intervention: a randomized controlled trial. J Clin Oncol. 2006;24:635-42.
25. Shanafelt TD, Novotny P, Johnson ME, et al. The well-being and personal wellness promotion strategies of medical oncologists in the North Central Cancer Treatment Group. Oncology. 2005;68:23-32.
26. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual (3 rd ed). Palo Alto, CA: Consulting Psychologists Press; 1996.
27. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burn-out and selfreported patient care in an internal medicicine residency program. Ann Intern Med. 2002;136:358-67.
28. Thomas NK. Resident burnout. JAMA. 2004;292:2880-9.
29. Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165:2595-600.
30. Rosen IM, Gimotty PA, Shea JA, Bellini LM. Evolotion of sleep quality, sleep deprevation, mood disturbances, empathy, and burnout among interns. Acad Med. 2006;81:82-5.
31. Davis M. A multidimensional approach to individual differences in empathy. JSAS Catalog Selected Documents Psychol. 1980;10:85.
32. Davis M. Measuring individual differences in empathy: evidence for a multi-dimensional approach. J Pers Soc Psychol. 1983;44:113-26.
33. Bellini LM, Baime M, Shea JA. Variation of mood and empathy during internship. JAMA. 2002;287:3143-6.
34. Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med. 2005;80:164-7.
35. Yarnold PR, Bryant FB, Nightingale SD, Martin GJ. Assessing physician empathy using the Interpersonal Reactivity Index: A measurement model and cross-sectional analysis. Psychology, Health, and Medicine. 1996;1:207-21.
36. Bryant FB, Yarnold PR, Grimm LG. Toward a measurement model of the Affect Intensity Measure: a three-factor structure. Journal of Research in Personality. 1996;30:223-47.
37. Lawrence EJ, Shaw P, Baker D, Baron-Cohen S, David AS. Measuring empathy: reliability and validity of the empathy quotient. Psychological Medicine. 2004;34:911-24.
38. Ware JE, Kosinski M, Dewey JE, Gandek B. How to score and interpret single-item health status measures: a manual for users of the SF-8 Health Survey. Lincoln, RI: QualityMetric Incorporated; 2001.
39. Turner-Bowker D, Bayliss M, Ware JEJ, Kosinski M. Usefulness of the SF-8 health survey for comparing the impact of migraine and other conditions. Qual Life Res. 2003;12:1003-12.
40. Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care: the PRIME-MD study. JAMA. 1994;272:1749-56.
41. Whooley MA, Avins AL, Miranda J, Browner WS. Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med. 1997;12:439-45.
42. Garibaldi RA, Trontell MC, Waxman H, et al. The in-training examination in internal medicine. Ann Intern Med. 1994;121:117-23.
43. Garibaldi RA, Subhiyah R, Moore ME, Waxman H. The in-training examination in internal medicine: an analysis of resident performance over time. Ann Intern Med. 2002;137:505-10.
44. McDonald FS, Zeger SL, Kolars JC. Factors associated with medical knowledge acquisition during internal medicine residency. J Gen Intern Med. 2007;22:962-8.
45. McDonald FS, Zeger SL, Kolars JC. Associations of conference attendence with internal medicine in-training examination scores. Mayo Clin Proc. 2008;83:449-53.
46. Cook DA, Beckman TJ. Does scale length matter? A comparison of nine- versus five-point rating scales for the mini-CEX. Adv Health Sci Educ Theory Pract. 2009;14:655-64.
47. Cook DA, Beckman TJ, Mandrekar JN, Pankratz VS. Internal structure of mini-CEX scores for internal medicine residents: factor analysis and generalizability. Adv Health Sci Educ. 2010;15:633-45.
48. Norcini JJ, Blank LL, Duffy FD, Fortna GS. The mini-CEX: a method for assessing clinical skills. Ann Intern Med. 2003;138:476-81.
49. Kogan JR, Bellini LM, Shea JA. Feasibility, reliability, and validity of the mini-clinical evaluation exercise (mCEX) in a medicine core clerkship. Acad Med. 2003;78(10 suppl):S33-5.
50. Hatala R, Ainslie M, Kassen BO, Mackie I, Roberts JM. Assessing the mini-clinical evaluation exercise in comparison to a national specialty examination. Med Educ. 2006;40:950-6.
51. Holmboe ES, Hout S, Chung J, Norcini JJ, Hawkins RE. Construct validity of the mini-clinical evaluation exercise (miniCEX). Acad Med. 2003;78:826-30.
52. Durning SJ, Cation LJ, Markert RJ, Pangaro L. Assessing the reliability and validity of the mini-clinical evaluation exercise for internal medicine residency training. Acad Med. 2002;77:900-4.
53. Beckman TJ, Mandrekar JN, Engstler GJ, Ficalora RD. Determining the reliability of clinical assessment scores in real time. Teach Learn Med. 2009;21:188-94.
54. ACGME. Common Program Requirements 2011. http://www.acgme.org/acwebsite/ home/Common-Program-Requirements-07012011.pdf.Accessed August 22, 2011.
55. Pellegrino ED. Toward a reconstruction of medical morality. The American Journal of Bioethics. 2006;6:65-71.
56. Rosenow EC III. Recertifying in the art of medicine: what I would tell young physicians. Mayo Clin Proc. 2000;75:865-8.
57. Stratton TD, Elam CL, Murphy-Spencer AE, Quinlivan SL. Emotional intelligence and clinical skills: preliminary results from a comprehensive clinical performance examination. Acad Med. 2005;80:S34-7.
58. Spickard A, Gabbe SG, Christensen JF. Mid-career burnout in generalist and specialist physicians. JAMA. 2009;288:1447-50.
59. Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50:1129-36.
60. Kellerman SE, Herold J. Physician response to surveys. A review of the literature. Am J Prev Med. 2001;20:61-7.