Direct Observation: Assessing Orthopaedic Trainee Competence in the Ambulatory Setting

Journal of the American Academy of Orthopaedic Surgeons

Volumn 24, Issue 9, 2016, Pages 591-599

  Phillips, Donna P ^a   Zuckerman, Joseph D ^b   Kalet, Adina ^b   Egol, Kenneth A ^b  

^a BELLEVUE HOSPITAL CENTER   (United States)

^b NYU HOSPITAL FOR JOINT DISEASES   (United States)

Author keywords

communications skills; core competencies; direct observation; education; feedback; trainee assessment

Indexed keywords

AMBULATORY CARE; CLINICAL COMPETENCE; EDUCATION; HUMAN; MEDICAL EDUCATION; ORTHOPEDICS; PROCEDURES;

AMBULATORY CARE; CLINICAL COMPETENCE; EDUCATION, MEDICAL, GRADUATE; EDUCATIONAL MEASUREMENT; HUMANS; INTERNSHIP AND RESIDENCY; ORTHOPEDICS;

EID: 84984655399     PISSN: 1067151X     EISSN: None     Source Type: Journal    
DOI: 10.5435/JAAOS-D-15-00401     Document Type: Article

References (33)

1. Holmboe ES: Realizing the promise of competency-based medical education. Acad Med 2015; 90(4): 411-413.
2. Accreditation Council of Graduate Medical Education: http: //www. acgme. org. Accessed June 30, 2016.
3. Williams RG, Dunnington GL, Mellinger JD, Klamen DL: Placing constraints on the use of the ACGME milestones: A commentary on the limitations of global performance ratings. Acad Med 2015; 90(4): 404-407.
4. Nasca TJ, Philibert I, Brigham T, Flynn TC: The next GME accreditation system: Rationale and benefits. N Engl J Med 2012; 366(11): 1051-1056.
5. Farley FA, Weinstein SL: The case for patient-centered care in orthopaedics. J Am Acad Orthop Surg 2006; 14(8): 447-451.
6. Frankel RM, Eddins-Folensbee F, Inui TS: Crossing the patient-centered divide: Transforming health care quality through enhanced faculty development. Acad Med 2011; 86(4): 445-452.
7. Youm J, Chenok K, Belkora J, Chan V, Bozic KJ: The emerging case for shared decision making in orthopaedics. J Bone Joint Surg Am 2012; 94(20): 1907-1912.
8. Braddock C III, Hudak PL, Feldman JJ, Bereknyei S, Frankel RM, Levinson W: "Surgery is certainly one good option": Quality and time-efficiency of informed decision-making in surgery. J Bone Joint Surg Am 2008; 90(9): 1830-1838.
9. Epstein RM, Fiscella K, Lesser CS, Stange KC: Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood) 2010; 29(8): 1489-1495.
10. Levinson W, Lesser CS, Epstein RM: Developing physician communication skills for patient-centered care. Health Aff (Millwood) 2010; 29(7): 1310-1318.
11. Lundine K, Buckley R, Hutchison C, Lockyer J: Communication skills training in orthopaedics. J Bone Joint Surg Am 2008; 90(6): 1393-1400.
12. Tongue JR, Epps HR, Forese LL: Communication skills. Instr Course Lect 2005; 54: 3-9.
13. Phillips D, Zuckerman JD, Strauss EJ, Egol KA: Objective Structured Clinical Examinations: A guide to development and implementation in orthopaedic residency. J Am Acad Orthop Surg 2013; 21(10): 592-600.
14. Griesser MJ, Beran MC, Flanigan DC, Quackenbush M, Van Hoff C, Bishop JY: Implementation of an objective structured clinical exam (OSCE) into orthopedic surgery residency training. J Surg Educ 2012; 69(2): 180-189.
15. Dwyer T, Glover Takahashi S, Kennedy Hynes M, et al: How to assess communication, professionalism, collaboration and the other intrinsic CanMEDS roles in orthopedic residents: Use of an objective structured clinical examination (OSCE). Can J Surg 2014; 57 (4): 230-236.
16. Chander B, Kule R, Baiocco P, et al: Teaching the competencies: Using objective structured clinical encounters for gastroenterology fellows. Clin Gastroenterol Hepatol 2009; 7(5): 509-514.
17. Henry SG, Holmboe ES, Frankel RM: Evidence-based competencies for improving communication skills in graduate medical education: A review with suggestions for implementation. Med Teach 2013; 35(5): 395-403.
18. Kogan JR, Conforti LN, Iobst WF, Holmboe ES: Reconceptualizing variable rater assessments as both an educational and clinical care problem. Acad Med 2014; 89(5): 721-727.
19. Asch DA, Nicholson S, Srinivas SK, Herrin J, Epstein AJ: How do you deliver a good obstetrician? Outcome-based evaluation of medical education. Acad Med 2014; 89(1): 24-26.
20. Mauksch LB, Dugdale DC, Dodson S, Epstein R: Relationship, communication, and efficiency in the medical encounter: Creating a clinical model from a literature review. Arch Intern Med 2008; 168(13): 1387-1395.
21. Levinson W, Pizzo PA: Patient-physician communication: It's about time. JAMA 2011; 305(17): 1802-1803.
22. Kogan JR, Conforti L, Bernabeo E, Iobst W, Holmboe E: Opening the black box of clinical skills assessment via observation: A conceptual model. Med Educ 2011; 45(10): 1048-1060.
23. Holmboe ES, Ward DS, Reznick RK, et al: Faculty development in assessment: The missing link in competency-based medical education. Acad Med 2011; 86(4): 460-467.
24. Krupat E, Frankel R, Stein T, Irish J: The Four Habits Coding Scheme: Validation of an instrument to assess clinicians' communication behavior. Patient Educ Couns 2006; 62(1): 38-45.
25. Stein T, Frankel RM, Krupat E: Enhancing clinician communication skills in a large healthcare organization: A longitudinal case study. Patient Educ Couns 2005; 58(1): 4-12.
26. Lundberg KL: What are internal medicine residents missing? A communication needs assessment of outpatient clinical encounters. Patient Educ Couns 2014; 96 (3): 376-380.
27. Makoul G: Essential elements of communication in medical encounters: The Kalamazoo consensus statement. Acad Med 2001; 76(4): 390-393.
28. Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L: Accuracy of physician self-assessment compared with observed measures of competence: A systematic review. JAMA 2006; 296(9): 1094-1102.
29. Hauer KE, Holmboe ES, Kogan JR: Twelve tips for implementing tools for direct observation of medical trainees' clinical skills during patient encounters. Med Teach 2011; 33(1): 27-33.
30. Kogan JR, Conforti LN, Bernabeo EC, Durning SJ, Hauer KE, Holmboe ES: Faculty staff perceptions of feedback to residents after direct observation of clinical skills. Med Educ 2012; 46(2): 201-215.
31. Archer JC: State of the science in health professional education: Effective feedback. Med Educ 2010; 44(1): 101-108.
32. Junod Perron N, Nendaz M, Louis-Simonet M, et al: Effectiveness of a training program in supervisors' ability to provide feedback on residents' communication skills. Adv Health Sci Educ Theory Pract 2013; 18(5): 901-915.
33. Marks MR, Phillips D, Halsey DA, Wong A: Difficult conversations in orthopaedics. Instr Course Lect 2015; 64: 3-9.