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Related Experiment Video

Updated: Feb 10, 2026

Using Facial Electromyography to Assess Facial Muscle Reactions to Experienced and Observed Affective Touch in Humans
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Does general experience affect self-assessment?

Parisa Rezaiefar1, Kelly Forse2, Joseph K Burns3

  • 1Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.

The Clinical Teacher
|May 23, 2018
PubMed
Summary
This summary is machine-generated.

Experienced clinicians and postgraduate trainees showed no initial correlation between confidence and competence. Post-training, only experienced clinicians demonstrated a significant correlation, highlighting the need for objective skill assessments.

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Area of Science:

  • Medical Education
  • Clinical Skills Assessment
  • Physician Training

Background:

  • Assessing clinical competence is vital in medical education.
  • Understanding physician self-assessment accuracy aids curriculum design.
  • This study examines experience's effect on confidence-competence correlation in procedural skills.

Purpose of the Study:

  • To evaluate the impact of general experience on the correlation between self-assessed confidence and actual competence.
  • To compare experienced clinicians (ECs) and postgraduate trainees (PGTs) in their ability to accurately assess procedural skills.
  • To inform the development of effective medical training and evaluation strategies for procedural skills.

Main Methods:

  • An observational study involving 19 first-year family medicine residents (PGTs) and 18 faculty members (ECs).
  • Participants underwent a simulation-based workshop on pessary care, a common office procedure.
  • Confidence was measured via survey; competence was assessed using an objective structured clinical examination (OSCE) before and after the workshop.

Main Results:

  • No significant correlation between confidence and competence was found at baseline for either ECs (r=0.25) or PGTs (r=0.15).
  • After the workshop, ECs showed a significant correlation (r=0.60, p=0.01), while PGTs did not.
  • The change in correlation post-workshop was not statistically significant for either group.

Conclusions:

  • Experienced clinicians are not inherently more accurate in self-assessing competence than trainees.
  • Objective structured clinical examination (OSCE)-format evaluations are beneficial for assessing performance improvement in procedural skills curricula.
  • Medical education and continuing professional development (CPD) can benefit from incorporating objective assessments to bridge the gap between confidence and competence.