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Competency-Based Evaluation Methodology Enhances Learning During Internship: A Pilot Study.

Wenda Wang1, Yi Zhao1, Guoyang Zheng1

  • 1Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.

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|November 25, 2025
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Summary

A new competency-oriented assessment using standardized patients significantly improved urology intern performance and engagement. This method enhances evaluation beyond traditional approaches, showing promise for medical education.

Keywords:
Department of Urologycompetency-based medical educationeffect of teachinginternship learning assessment

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Area of Science:

  • Medical Education
  • Surgical Training
  • Competency-Based Assessment

Background:

  • Traditional internship evaluations have limitations.
  • A competency-oriented approach is needed for effective assessment.
  • This study explores a novel method for urology internships.

Purpose of the Study:

  • To introduce and evaluate a competency-oriented assessment method using standardized patients (SP) for urology interns.
  • To compare the impact of this new method versus traditional assessment on intern performance and engagement.
  • To assess the effect on self-assessed ability improvement in a urology internship program.

Main Methods:

  • A 1-month urology internship at Peking Union Medical College.
  • Interns were divided into a control group (traditional assessment) and an observation group (competency-oriented SP assessment).
  • Evaluations included after-department exams, work engagement, and self-assessed ability improvement.

Main Results:

  • The observation group showed significantly higher scores in after-department examinations (decision-making, communication, surgical detail, etc.).
  • Interns in the observation group had higher work engagement scores (ward work, communication, surgery).
  • Self-assessed ability improvement was significantly higher in the observation group (surgical skill, cooperation, communication).

Conclusions:

  • The competency-oriented SP-based assessment enhances urology intern performance, engagement, and self-perceived skill development.
  • This novel assessment method shows potential for improving medical internship evaluations.
  • Further multi-center studies are needed to validate these findings across different institutions and departments.