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Comparing peer and faculty evaluations in an internal medicine residency
G M Van Rosendaal1, P A Jennett
1University of Calgary Faculty of Medicine, Alberta, Canada.
Summary
Faculty evaluations of internal medicine residents were generally higher than peer evaluations for specific clinical competencies. This suggests potential differences in evaluation standards or expectations between faculty and peers.
Area of Science:
- Medical Education
- Internal Medicine Residency Training
- Clinical Competence Assessment
Background:
- In-training evaluations are crucial for resident development.
- Comparing peer and faculty assessments can reveal discrepancies in perceived competence.
Purpose of the Study:
- To compare in-training evaluations of internal medicine residents by peers versus faculty preceptors.
- To identify differences in how peers and faculty assess clinical competence.
Main Methods:
- 22 internal medicine residents participated in the study.
- Peer and faculty ratings were collected for clinical competence categories.
- Wilcoxon matched-pair signed-rank test compared paired ratings.
Main Results:
- No significant difference in overall competence ratings between peers and faculty.
- Faculty rated residents significantly higher in physical examination, team relationships, industriousness, teaching, patient relationships, and case presentations.
- External validation of ratings provided limited meaningful information.
Conclusions:
- Faculty ratings were higher than peer ratings for specific clinical competencies.
- Discrepancies suggest differences in evaluation quality, standards, or expectations between faculty and peers.