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Competency Evaluations in the Next Accreditation System: Contributing to Guidelines and Implications.

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  • 1a Department of Medical Education , University of Illinois at Chicago College of Medicine , Chicago , Illinois , USA.

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|February 6, 2016
PubMed
Summary

End-of-rotation evaluations provide valid data for assessing resident performance and milestones within graduate medical education. These scores can help identify residents needing support and inform program director decisions.

Keywords:
ACGMEend-of-rotation evaluationsmilestonesnext accreditation systemworkplace-based assessments

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Area of Science:

  • Medical Education
  • Graduate Medical Education Assessment
  • Psychometrics in Healthcare

Background:

  • End-of-rotation evaluations are a key assessment tool within the Next Accreditation System (NAS).
  • Validity evidence for using these evaluation scores within the NAS has been limited.
  • This study addresses the need for validity evidence to support NAS guidelines.

Purpose of the Study:

  • To examine the validity evidence of end-of-rotation evaluation scores.
  • To assess the measurement of competencies and milestones in graduate medical education.
  • To inform guidelines for utilizing rotation evaluations within the NAS.

Main Methods:

  • Analysis of 2,701 end-of-rotation evaluations for 142 Internal Medicine residents.
  • Utilized descriptive statistics, generalizability analysis, and higher-order confirmatory factor analysis.
  • Examined psychometric properties including composite score reliability.

Main Results:

  • Milestone ratings increased with resident training year; faculty ratings showed greater variability.
  • A 6-factor solution supported the hierarchical structure of milestones and core competencies.
  • Evaluation scores for Patient Care, Medical Knowledge, and Practice-Based Learning predicted resident success.

Conclusions:

  • Rotation evaluations offer valid data for assessing resident progress in graduate medical education.
  • Findings support the development of guidelines for program directors using NAS evaluations.
  • This research contributes to robust assessment systems in medical training.