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How progress evaluations are used in postgraduate education with longitudinal supervisor-trainee relationships: a
Marnix P D Westein1,2,3, A S Koster4, H E M Daelmans5
1Department of Pharmaceutical Sciences, Utrecht University, Universiteitsweg 99, 3584, CG, Utrecht, The Netherlands. m.p.d.westein@uu.nl.
Progress evaluations in postgraduate education help guide trainee development, but supervisors prioritize education over assessment. Separating evaluations from formal assessments can improve supervisor roles and feedback quality.
Area of Science:
- Medical Education
- Professional Development
- Pharmacy Practice
Background:
- Performance measurement and feedback in supervision create tension between formative and summative evaluation purposes.
- Conflicting evidence exists regarding the impact of supervisor-trainee relationships on performance assessment.
- Understanding the utilization of progress evaluations in postgraduate settings with ongoing supervisor-trainee relationships is crucial.
Purpose of the Study:
- To investigate the utilization of progress evaluations in a two-year community pharmacy specialization program.
- To explore supervisor response processes, evaluation utility, and the influence of supervisor-trainee relationships.
- To analyze the validity of performance evaluation scores within a longitudinal context.
Main Methods:
- Mixed-method approach combining quantitative analysis of evaluation scores and qualitative semi-structured interviews.
- Analysis of performance evaluation scores for 342 trainees using repeated measures ANOVA.
- Semi-structured interviews with 15 supervisors focusing on their experiences and perceptions.
Main Results:
- Progress evaluation scores were influenced by time and the Canadian Medical Education Directives for Specialists (CanMEDS) roles.
- Supervisors demonstrated varied response processes, prioritizing trainee development over strict performance scoring.
- Positive supervisor-trainee relationships were foundational for feedback, with supervisors preferring educator/mentor roles over assessor roles.
Conclusions:
- Progress evaluations effectively direct feedback in longitudinal supervisor-trainee relationships, though performance scoring reliability is low.
- Supervisors are more invested in fostering development than in formal assessment.
- Recommending the separation of progress evaluations from formal assessments to mitigate supervisor role conflict.
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