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Residents' perception of evaluation procedures used by their training program
S C Day1, L J Grosso, J J Norcini
1American Board of Internal Medicine, Philadelphia, PA 19104.
Journal of General Internal Medicine
|September 1, 1990
Summary
Internal medicine residents receive routine evaluations, but awareness of outpatient assessments and humanistic quality evaluations varies. Improving outpatient evaluations and specific procedural skill assessments is recommended.
Area of Science:
- Medical Education
- Internal Medicine Training
- Program Evaluation
Background:
- Training programs utilize various evaluation methods for residents.
- Understanding the frequency and types of these evaluations is crucial for curriculum development.
Purpose of the Study:
- To identify routine evaluation methods in internal medicine residency programs.
- To determine the frequency of use for different evaluation techniques.
Main Methods:
- A survey was distributed to recent internal medicine residency graduates.
- Data was collected from 5,693 residents (76% response rate) who took the 1988 Certifying Examination.
Main Results:
- Most residents were aware of inpatient evaluations but uncertain about outpatient and humanistic quality assessments.
- Clinical Evaluation Exercises (CEX) were common, but direct observation of history/physical skills was less frequent.
- Advanced Cardiac Life Support (ACLS) certification, medical record audits, and In-Training Examinations were widely used; performance-based tests were less common. Residents felt procedural skills like breast/pelvic exams were inadequately assessed.
Conclusions:
- Residents generally undergo routine evaluations, including CEX.
- Enhancing resident education on evaluation systems is needed.
- Strengthening outpatient evaluations and assessing procedural skills require further attention.