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Updated: May 3, 2026

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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Using narratives to evaluate psychiatry residents' competence
S B Shanfield1, C D Terrell, J H Littlefield
1Department of Psychiatry, The University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX, 78284-7792, USA.
Summary
This study introduces a novel method for evaluating psychiatric residents
Area of Science:
- Psychiatry and Medical Education
Background:
- Current methods for assessing psychiatric resident clinical competence may lack realism.
- Objective evaluation of clinical skills is crucial for effective psychiatric training.
Purpose of the Study:
- To introduce and evaluate a new method for assessing the clinical competence of psychiatric residents.
- To enhance the accuracy and realism of resident performance evaluations.
Main Methods:
- Developing a training program for faculty evaluators using narrative descriptions of clinical practice.
- Utilizing detailed examples of appropriate and inappropriate resident behaviors in diverse clinical settings.
Main Results:
- The proposed training method has the potential to yield more realistic data on resident clinical abilities.
- Faculty trained with narrative descriptions may offer more nuanced assessments.
Conclusions:
- This novel training approach offers a promising alternative for evaluating psychiatric residents' clinical competence.
- Improved assessment methods can lead to better training outcomes and patient care.
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