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Updated: Aug 24, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Preparing Effective Narrative Evaluations for the Medical School Performance Evaluation (MSPE).
April O Buchanan1, Lisa Strano-Paul2, Kris Saudek3
1Professor, Department of Pediatrics, and Associate Dean for Medical Education, University of South Carolina School of Medicine Greenville; Pediatric Hospitalist, Prisma Health.
Medical schools are improving narrative evaluations in the Medical School Performance Evaluation (MSPE) using expert-developed workshops. These sessions train faculty to write clearer, less biased comments, enhancing the quality of student assessments.
Area of Science:
- Medical Education
- Academic Assessment
Background:
- Standardizing the Medical School Performance Evaluation (MSPE) is crucial, but previous efforts overlooked narrative quality.
- Narrative evaluations in MSPEs often suffer from vague language, bias, and politeness, negatively impacting students.
- The Association of American Medical Colleges (AAMC) recognized the need to improve MSPE narrative quality.
Purpose of the Study:
- To address the quality of written narratives within the MSPE.
- To develop and disseminate resources for improving narrative evaluations in medical education.
- To enhance the clarity, objectivity, and utility of MSPE comments for students and residency programs.
Main Methods:
- An expert group convened by the AAMC developed interactive workshops.
- Workshops were delivered via a webinar and national meetings, including presentations and breakout sessions.
- Feedback was gathered through polling, free-text prompts, and anonymous surveys to assess effectiveness.
Main Results:
- Over 680 participants (administrators, faculty, staff) attended the training sessions.
- Participants found the modules valuable for faculty development and intended to implement them institutionally.
- There was strong agreement on the utility of the workshops for improving MSPE narrative quality.
Conclusions:
- The developed workshops effectively address a critical gap in medical education literature regarding MSPE narratives.
- Stakeholders confirmed the value of these workshops in training writers to produce higher-quality narrative comments.
- These resources offer a practical approach to enhancing the objectivity and impact of MSPEs.
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