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Predicting resident clinical performance with in-training examinations.
T G Quattlebaum1, P M Darden, J B Sperry
1Department of Pediatrics, Medical University of South Carolina, Charleston 29425-0793.
Research in Medical Education : Proceedings of the ... Annual Conference. Conference on Research in Medical Education
|January 1, 1988
Summary
Yearly oral in-training exams accurately predicted resident clinical performance and identified struggling interns. Written exams did not correlate with clinical success or identify at-risk residents.
Area of Science:
- Medical Education
- Professional Competence Assessment
Background:
- Assessing resident performance is crucial for ensuring quality patient care.
- Traditional assessments may not fully capture clinical competence.
Purpose of the Study:
- To evaluate the predictive validity of oral in-training examinations on resident clinical performance.
- To determine if written in-training examinations can identify underperforming residents.
Main Methods:
- Longitudinal study over seven years.
- Yearly oral and written in-training examinations.
- Correlation analysis with subsequent resident clinical performance data.
Main Results:
- Oral in-training exams showed high correlation with clinical performance.
- Oral exams significantly predicted residents in the lowest 10% of clinical performance.
- Written in-training exams did not correlate with clinical performance or identify "problem" residents.
Conclusions:
- Oral in-training examinations are valuable tools for assessing and predicting resident clinical competence.
- Written in-training examinations are not effective for evaluating clinical performance or identifying struggling residents.