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Developing the Expected Entrustment Score: Accounting for Variation in Resident Assessment
Daniel P Schauer1, Benjamin Kinnear2, Matthew Kelleher2
1Department of Internal Medicine, University of Cincinnati, PO Box 670535, Cincinnati, OH, 45267-0535, USA. Daniel.Schauer@uc.edu.
Background:
Clinical competency committees (CCCs) and residency program leaders may find it difficult to interpret workplace-based assessment (WBA) ratings knowing that contextual factors and bias play a large role.
Objective:
We describe the development of an expected entrustment score for resident performance within the context of our well-developed Observable Practice Activity (OPA) WBA system.
Design:
Observational study PARTICIPANTS: Internal medicine residents MAIN MEASURE: Entrustment KEY RESULTS: Each individual resident had observed entrustment scores with a unique relationship to the expected entrustment scores. Many residents' observed scores oscillated closely around the expected scores. However, distinct performance patterns did emerge.
Conclusions:
We used regression modeling and leveraged large numbers of historical WBA data points to produce an expected entrustment score that served as a guidepost for performance interpretation.
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