Continuity-structured clinical observations: assessing the multiple-observer evaluation in a pediatric resident...

Area of Science:

• Medical Education
• Pediatric Residency Training
• Clinical Skills Assessment

Background:

• Direct observation is crucial for assessing resident competency.
• Evaluating resident performance requires input from multiple perspectives.

Purpose of the Study:

• To assess pediatric resident performance in a continuity clinic using direct observation.
• To compare evaluations from preceptors, residents, and parents.

Main Methods:

• A continuity-structured clinical observation tool was used.
• Pediatric residents were observed during patient encounters.
• Parents, preceptors, and residents provided performance evaluations.

Main Results:

• Parents rated residents highest; residents rated themselves lowest.
• Lowest agreement between residents and preceptors was in history taking and negotiation/management.
• All evaluators scored residents lowest in negotiation/management skills.

Conclusions:

• Resident and preceptor evaluations showed more variability than parent evaluations.
• Negotiation and management skills require emphasis in residency programs.