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Related Experiment Videos

Residency program director evaluations do not correlate with performance on a required 4th-year objective structured

M J Kahn1, W W Merrill, D S Anderson

  • 1Department of Medicine, Tulane University School of Medicine, SL12, 1430 Tulane Avenue, New Orleans, LA 70112.

Teaching and Learning in Medicine
|March 29, 2001
PubMed
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Program director assessments of resident performance do not correlate with objective clinical skills exams or medical knowledge tests. More objective evaluation tools are needed for postgraduate training assessment.

Area of Science:

  • Medical Education Research
  • Graduate Medical Education Assessment
  • Clinical Skills Evaluation

Background:

  • Assessing resident performance is a recognized challenge in medical education.
  • Objective measures are sought to complement subjective evaluations.
  • Current assessment methods may lack sufficient correlation with objective performance indicators.

Purpose of the Study:

  • To determine the correlation between 4th-year Objective Structured Clinical Examination (OSCE) performance and residency program director assessments.
  • To investigate the relationship between OSCE scores, class rank, and U.S. Medical Licensing Examination (USMLE) scores.
  • To evaluate the alignment of subjective program director evaluations with objective measures of clinical skills and knowledge.

Main Methods:

Related Experiment Videos

  • Surveyed program directors regarding the performance of 50 medical school graduates.
  • Graduates were selected based on high (OSCEHI) and low (OSCELO) performance on a 4th-year OSCE.
  • Program directors were blinded to the graduates' specific OSCE scores.

Main Results:

  • No significant correlation was found between OSCE scores and program director Likert scale ratings (r < .23, p > .13).
  • Program director evaluations showed no significant correlation with class rank or USMLE scores (r < .26, p > .09).
  • Objective performance on the OSCE did not align with subjective assessments by program directors.

Conclusions:

  • Program director evaluations of resident performance do not reliably correlate with objective assessments of clinical skills or medical knowledge.
  • Current subjective evaluation methods may not accurately reflect a resident's objective capabilities.
  • Development of more structured and objective assessment tools is recommended for postgraduate training programs.