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An empirical specification of residency performance dimensions
E M Altmaier1, S R Johnson, V S Tarico
1Division of Psychological and Quantitative Foundations, College of Education, University of Iowa, Iowa City.
Obstetrics and Gynecology
|July 1, 1988
Summary
This study defines essential behaviors for successful obstetrics and gynecology residents using the critical incident technique. Nine key performance categories were identified with high rater reliability, improving resident selection and evaluation.
Area of Science:
- Medical Education
- Psychology
- Obstetrics and Gynecology
Background:
- Residency selection and evaluation lack specific behavioral criteria in current research.
- A need exists for defined performance components to guide decisions in resident assessment.
Purpose of the Study:
- To identify and define necessary behaviors and attitudes for successful performance in obstetrics and gynecology residency.
- To establish a structured and replicable method for assessing resident performance.
Main Methods:
- Applied the critical incident technique, a job analysis method from personnel psychology.
- Collected and categorized behavioral incidents related to resident performance.
Main Results:
- Identified nine mutually exclusive categories of successful resident performance: conscientiousness, recognition of limits, confidence, crisis management, knowledge integration, technical skills, staff relations, patient relations, and ethical actions.
- Achieved 94% reliability in categorizing incidents among physician raters.
Conclusions:
- The identified behavioral categories provide a foundation for structured and reliable measurement of resident performance.
- This approach enhances the precision and replicability of selection and evaluation processes in obstetrics and gynecology residency programs.