Reviewing Residents' Competence: A Qualitative Study of the Role of Clinical Competency Committees in Performance Assessment

Academic Medicine

Volumn 90, Issue 8, 2015, Pages 1084-1092

  Hauer, Karen E ^a   Chesluk, Benjamin ^b   Iobst, William ^c   Holmboe, Eric ^d,e   Baron, Robert B ^a   Boscardin, Christy K ^a   Cate, Olle Ten ^f   O'Sullivan, Patricia S ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b AMERICAN BOARD OF INTERNAL MEDICINE   (United States)

^c Geisinger Health Geisinger Commonwealth School of Medicine   (United States)

^d ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION   (United States)

^e YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^f UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; CLINICAL COMPETENCE; CLINICAL TRIAL; EDUCATION; FEMALE; HUMAN; INTERVIEW; MALE; MEDICAL EDUCATION; MIDDLE AGED; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; PEER REVIEW; PERSONNEL MANAGEMENT; QUALITATIVE RESEARCH; UNITED STATES;

ADULT; AGED; CALIFORNIA; CLINICAL COMPETENCE; COMMITTEE MEMBERSHIP; EDUCATION, MEDICAL, GRADUATE; EDUCATIONAL MEASUREMENT; EMPLOYEE PERFORMANCE APPRAISAL; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; PEER REVIEW, HEALTH CARE; QUALITATIVE RESEARCH;

EID: 84938275458     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0000000000000736     Document Type: Article

References (28)

1. Accreditation Council for Graduate Medical Education. Frequently asked questions about the Next Accreditation System. December 2012. http://jcesom.marshall. edu/media/19073/NAS-FAQ-.pdf. Accessed March 16, 2015
2. Royal College of Physicians and Surgeons of Canada. The CanMEDS framework. http:// www.royalcollege.ca/portal/page/portal/ rc/canmeds/framework. Accessed March 9, 2015
3. General Medical Council. Tomorrows Doctor. Foreword. http://www.gmc-uk. org/education/undergraduate/tomorrows- doctors-2009-foreword.asp. Accessed March 9, 2015
4. Frank JR, Snell LS, ten Cate O, et al. Competency-based medical education: Theory to practice. Med Teach. 2010;32:638-645
5. Holmboe ES, Sherbino J, Long DM, Swing SR, Frank JR. The role of assessment in competency-based medical education. Med Teach. 2010;32:676-682
6. Jippes E, Van Luijk SJ, Pols J, Achterkamp MC, Brand PL, Van Engelen JM. Facilitators and barriers to a nationwide implementation of competency-based postgraduate medical curricula: A qualitative study. Med Teach. 2012;34:e589-e602
7. Accreditation Council for Graduate Medical Education. Next Accreditation System. https://www.acgme.org/acgmeweb/tabid/435/ ProgramandInstitutionalAccreditation/ NextAccreditationSystem.aspx. Accessed March 9, 2015
8. Pangaro L, ten Cate O. Frameworks for learner assessment in medicine: AMEE guide no. 78. Med Teach. 2013;35:e1197-e1210
9. Hanson JL, Rosenberg AA, Lane JL. Narrative descriptions should replace grades and numerical ratings for clinical performance in medical education in the United States. Front Psychol. 2013;4:668
10. Crossley J, Jolly B. Making sense of workbased assessment: Ask the right questions, in the right way, about the right things, of the right people. Med Educ. 2012;46:28-37
11. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277-1288
12. Patton MQ. Qualitative Evaluation and Research Methods. 2nd ed. Newbury Park, Calif: Sage Publications; 1990
13. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system-rationale and benefits. N Engl J Med. 2012;366:1051-1056
14. Dye JF, Schatz IM, Rosenberg BA, Coleman ST. Constant comparison method: A kaleidoscope of data. Qual Rep. 2000;4. http://www.nova.edu/ssss/QR/QR4-1/dye. html. Accessed March 9, 2015
15. Morrow SL. Quality and trustworthiness in qualitative research in counseling psychology. J Couns Psychol. 2005;52: 250-260
16. Bearman M, Dawson P. Qualitative synthesis and systematic review in health professions education. Med Educ. 2013;47:252-260
17. Accreditation Council for Graduate Medical Education. Data Resource Book. Academic Year 2011-2012. https://www. acgme.org/acgmeweb/Portals/0/PFAssets/ PublicationsBooks/2011-2012-ACGME- DATABOOK-DOCUMENT-Final.pdf. Accessed March 9, 2015
18. Iobst WF, Sherbino J, ten Cate O, et al. Competency-based medical education in postgraduate medical education. Med Teach. 2010;32:651-656
19. Hodges BD. A tea-steeping or i-Doc model for medical education? Acad Med. 2010;85(9 suppl):S34-S44
20. U.S. Department of Health and Human Services. Health Resources and Services Administration. http://www.hrsa.gov/ healthit/toolbox/HealthITAdoptiontoolbox/ QualityImprovement/whatarediffbtwqinqa. html [no longer available]. Accessed November 13, 2013
21. Mann K, van der Vleuten C, Eva K, et al. Tensions in informed self-assessment: How the desire for feedback and reticence to collect and use it can conflict. Acad Med. 2011;86:1120-1127
22. Schumacher DJ, Englander R, Carraccio C. Developing the master learner: Applying learning theory to the learner, the teacher, and the learning environment. Acad Med. 2013;88:1635-1645
23. Ericsson KA, Krampe RT, Tesch-Romer C. The role of deliberate practice in the acquisition of expert performance. Psych Review. 1993;100:363-406
24. Borman KR, Augustine R, Leibrandt T, Pezzi CM, Kukora JS. Initial performance of a modified milestones global evaluation tool for semiannual evaluation of residents by faculty. J Surg Educ. 2013;70:739-749
25. Lowry BN, Vansaghi LM, Rigler SK, Stites SW. Applying the milestones in an internal medicine residency program curriculum: A foundation for outcomesbased learner assessment under the next accreditation system. Acad Med. 2013;88:1665-1669
26. Smith CS, Morris M, Francovich C, et al; Pacific Northwest Consortium for Outcomes in Residency Education. A multisite, multistakeholder validation of the Accreditation Council for Graduate Medical Education competencies. Acad Med. 2013;88:997-1001
27. van der Vleuten CP, Schuwirth LW, Driessen EW, et al. A model for programmatic assessment fit for purpose. Med Teach. 2012;34:205-214
28. Hemmer PA, Pangaro L. Using formal evaluation sessions for case-based faculty development during clinical clerkships. Acad Med. 2000;75:1216-1221