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Assessing the Assessments: Do Preceptor Evaluations Predict Physician Assistant National Certifying Exam and End of
Kevin Bogenschutz1,2,3,4,5,6,7,8,9, Andrew Chastain1,2,3,4,5,6,7,8,9, Jaclyn Demeter1,2,3,4,5,6,7,8,9
1Kevin Bogenschutz, DMS, PA-C, is an assistant professor at Butler University, and also a clinical director at Near West Free Clinic, Indianapolis, Indiana.
Physician associate (PA) student preceptor evaluations show a weak correlation with standardized exam performance. These evaluations are crucial for clinical skills but may not predict academic success on exams like the PANCE.
Area of Science:
- Medical Education
- Physician Associate Training
- Clinical Assessment
Background:
- Physician associates (PAs) require extensive supervised clinical practice experiences (SCPEs) for accreditation.
- PA programs commonly use end-of-rotation (EOR) exams and preceptor evaluations to assess students.
- Variability exists in current PA student assessment methods.
Purpose of the Study:
- To evaluate the association between SCPE preceptor evaluations and PA student performance on EOR exams.
- To determine if preceptor evaluations correlate with Physician Assistant National Certifying Examination (PANCE) scores.
Main Methods:
- Retrospective analysis of data from 782 PA students across 3 programs (2020-2024).
- Focused on Family Medicine, Emergency Medicine, and Internal Medicine rotations.
- Compared preceptor evaluations with EOR and PANCE scores.
Main Results:
- Mean PANCE score was 468.2 ± 73.9; mean EOR scores ranged from 409.3 to 410.6.
- Average preceptor evaluations were 4.36 ± 0.7 on a 5-point Likert scale.
- Identified statistically significant but weak correlations (coefficients -0.11 to 0.17) between preceptor evaluations and exam performance.
Conclusions:
- Preceptor evaluations have negligible practical utility in predicting standardized exam performance.
- While vital for assessing clinical competencies, preceptor evaluations may not predict academic success.
- Further research is needed to comprehensively understand PA student competence.
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