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Evaluating M.D.-level competence in internal medicine

A S Anderson, M G Botticelli

    Journal of Medical Education
    |July 1, 1981
    PubMed
    Summary
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    This study developed a new evaluation program to assess medical student competence for primary care internships. The program uses objective tests, simulations, clinical skills exams, and rating scales to track progress.

    Area of Science:

    • Medical Education
    • Competency-Based Assessment
    • Internal Medicine Clerkship

    Background:

    • Defining M.D.-level competence is crucial for medical education.
    • Flexible internal medicine clerkships necessitate innovative evaluation methods.
    • Assessing student progress towards defined competence endpoints is essential.

    Purpose of the Study:

    • To develop and implement a comprehensive evaluation program for medical students.
    • To assess student progress toward defined M.D.-level competence.
    • To evaluate the effectiveness of a new assessment program in internal medicine.

    Main Methods:

    • Utilized an objective test for basic medical knowledge assessment.
    • Employed simulations to evaluate problem-solving and intellectual skills.

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  • Conducted a clinical skills examination with standardized criteria.
  • Implemented a criterion-referenced rating scale for professional habits and attitudes.

    • Main Results:

    • Presented the progress of the 1979 and 1980 graduating classes.
    • Demonstrated the application of a multi-faceted evaluation program.
    • Provided data on student achievement of predetermined mastery levels.

    Conclusions:

    • The developed evaluation program effectively measures medical student competence.
    • The program addresses the need for assessing progress in flexible clinical clerkships.
    • This approach supports competency-based medical education and internship readiness.