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Related Experiment Videos

Assessing senior residents' knowledge and performance: an integrated evaluation program

R W Schwartz1, M B Donnelly, D A Sloan

  • 1Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084.

Surgery
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

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Comprehensive surgical resident evaluations are feasible. Objective structured clinical examinations (OSCE) and in-training exams assess knowledge, unlike inflated ward evaluations.

Area of Science:

  • Medical Education
  • Surgical Training Assessment

Background:

  • Traditional surgical resident evaluations lack objective measures of overall performance.
  • A comprehensive evaluation program was developed for senior surgical residents.
  • The study aimed to compare different assessment methods for clinical knowledge and performance.

Purpose of the Study:

  • To determine if various assessment methods provide consistent data on resident competence.
  • To evaluate the reliability and validity of different senior surgical resident assessment tools.

Main Methods:

  • Sixteen senior general surgery residents were assessed.
  • Methods included subjective faculty ward evaluations, a structured oral examination, the American Board of Surgery In-Training Examination, and an Objective Structured Clinical Examination (OSCE).

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  • OSCE comprised a patient history/physical exam (Part A) and related questions (Part B).

    • Main Results:

    • Evaluation methods yielded differing competence estimates; ward evaluations were highest, OSCE lowest.
    • The In-Training Examination correlated with oral exams and OSCE Part B, indicating they measure knowledge effectively.
    • OSCE Part A and total scores were reliable but did not correlate with other measures, suggesting evaluation of distinct skills.
    • Faculty ward evaluations were inflated and lacked correlation with other assessment tools.

    Conclusions:

    • Developing comprehensive resident evaluation programs is both desirable and achievable.
    • Objective Structured Clinical Examinations and in-training examinations are valuable tools for assessing surgical resident knowledge and skills.