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Administrative Evaluation Completion Is Weakly Associated With Trainee-Rated Teaching Effectiveness: A Retrospective
Mackenzie Cook1, Ruchi Thanawala1, Farah Husain1
1Department of Surgery, Oregon Health & Science University, Portland, Oregon.
Journal of Surgical Education
|August 14, 2026
Summary
Faculty completing End of Rotation evaluations (EOR-e) showed modestly higher teaching scores. However, assessment completion and teaching quality are distinct, cautioning against using evaluation behavior as a sole proxy for teaching effectiveness.
Area of Science:
- Medical Education Research
- Surgical Education
- Faculty Assessment
Background:
- End of Rotation evaluations (EOR-e) are crucial for trainee assessment.
- Faculty completion of these evaluations is variable.
- The relationship between evaluation completion and teaching performance requires investigation.
Purpose of the Study:
- To determine if faculty End of Rotation evaluation (EOR-e) completion is associated with trainee-rated teaching performance.
- To test the hypothesis that timely assessment completion correlates with stronger teaching performance.
Main Methods:
- Retrospective cross-sectional study of faculty surgeons (n=120) in a General Surgery Residency Program.
- Analysis of EOR-e completion rates, lag times, and trainee-rated teaching effectiveness.
- Nonparametric analyses and regression models were used to examine associations.
Main Results:
- Only 25% of faculty completed all assigned EOR-e.
- Faculty completing all EOR-e had higher median teaching scores (4.5 vs 4.3, p < 0.001).
- Teaching scores correlated modestly with EOR-e completion rate (ρ=0.27, p < 0.005) but not lag time; multivariable analysis found no significant association.
Conclusions:
- EOR-e completion reflects engagement in summative evaluation artifacts by a subset of faculty.
- While modestly associated with teaching scores, evaluation engagement and teaching quality are distinct.
- Using assessment behavior as a proxy for teaching effectiveness should be approached with caution.
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