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A problem-oriented approach to resident performance ratings.

Reed G Williams1, John D Mellinger2, Gary L Dunnington1

  • 1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.

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Summary
This summary is machine-generated.

Serious problem items offer a clearer way to evaluate surgical residents than vague global ratings. This method directly identifies performance issues, improving resident assessment and feedback.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Performance Assessment

Background:

  • Global end-of-rotation evaluations for surgical residents often lack clarity due to abstract terms and rating bias.
  • Traditional rating scales may not effectively identify residents with significant performance deficiencies.

Purpose of the Study:

  • To assess the utility and measurement characteristics of serious problem items as an alternative to global ratings.
  • To determine if serious problem items can provide more direct and interpretable feedback on resident performance.

Main Methods:

  • Analysis of 4,234 faculty performance ratings for 105 general surgery residents.
  • Faculty reported serious problems in 8 clinical performance areas and 6 professional behavior areas.

Main Results:

  • 263 serious problems were reported across residents, with knowledge being the most frequent category.
  • Seven residents accounted for 86.9% of all serious problem reports, indicating concentrated issues.
  • Serious problems were most frequently cited in knowledge, management, technical skills, responsibility, and problem identification.

Conclusions:

  • Serious problem ratings offer a direct method to communicate faculty concerns about resident performance.
  • This item format can complement traditional global rating scales without significantly increasing faculty workload.