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Observing trainee encounters using a one-way mirror.

Raj Sehgal1, Joseph Hardman, Elizabeth Haney

  • 1South Texas Veterans Health Care System and University of Texas Health Science Center at San Antonio, Texas, USA.

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|June 12, 2014
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Summary

Direct observation of resident physicians using a one-way mirror in outpatient settings is feasible and preferred by trainees. This method offers a viable alternative for evaluating clinical skills without negatively impacting patient encounters.

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Area of Science:

  • Medical Education
  • Internal Medicine Training
  • Clinical Skills Assessment

Background:

  • Direct observation is crucial for resident evaluation, yet data on observation methods are limited.
  • Assessing residents in outpatient settings presents unique challenges for direct observation.

Purpose of the Study:

  • To implement and evaluate a novel method of direct observation via a one-way mirror for internal medicine residents in an outpatient setting.
  • To determine the feasibility and acceptance of one-way mirror observation among residents.

Main Methods:

  • Internal medicine residents' outpatient encounters were observed by preceptors through a one-way mirror.
  • Preceptors provided immediate feedback post-encounter.
  • Residents completed surveys assessing satisfaction and comfort with the observation method.

Main Results:

  • One-way mirror observation was found to be a feasible method.
  • 84% of residents completed post-visit surveys.
  • Residents preferred one-way mirror observation over videotaped encounters or in-room preceptors and reported no negative impact on visits.

Conclusions:

  • Direct observation via a one-way mirror is a viable and potentially preferable method for evaluating residents in outpatient settings.
  • This method may be particularly useful for assessing specific clinical skills.