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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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A Milestone-Based Evaluation System-The Cure for Grade Inflation?

Lindsay E Kuo1, Rebecca L Hoffman1, Jon B Morris1

  • 1Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Journal of Surgical Education
|November 28, 2015
PubMed
Summary
This summary is machine-generated.

The Milestones-based evaluation system (MBES) improved resident feedback by better differentiating skill levels across training years compared to the traditional evaluation system (TES). This new model offers more meaningful feedback for surgical education.

Keywords:
Interpersonal and Communication SkillsLikertMedical KnowledgeMilestonesNext Accreditation SystemPatient CarePractice-Based Learning and ImprovementProfessionalismSystems-Based Practicecompetenciesfeedbackresident evaluation

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Area of Science:

  • Medical Education
  • Surgical Training
  • Assessment and Evaluation

Background:

  • The optimal method for resident evaluation and feedback remains debated.
  • Traditional evaluation systems (TES) often lack specificity in assessing resident progress.

Purpose of the Study:

  • To compare the performance of a Milestones-based evaluation system (MBES) against a traditional evaluation system (TES).
  • To assess the effectiveness of MBES in providing feedback and differentiating resident performance.

Main Methods:

  • A Milestones-based evaluation system (MBES) with 0-4 scoring was implemented and compared to a traditional evaluation system (TES) using a 1-5 Likert scale.
  • Surveys were administered to categorical general surgical residents, with scores adjusted for comparison.
  • Descriptive statistics and Wilcoxon signed-rank test were used for analysis.

Main Results:

  • The MBES yielded lower median scores (2.69) compared to the TES (3.66, adjusted).
  • MBES scores significantly differed across postgraduate years (PGY), showing an increasing trend with higher PGY.
  • The MBES demonstrated improved differentiation in resident performance by PGY.

Conclusions:

  • The Milestones-based evaluation system (MBES) effectively differentiates resident skill and knowledge levels by PGY.
  • MBES facilitates more meaningful feedback, representing an improvement in surgical education.
  • Utilizing milestones enhances faculty evaluation of resident competency.