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Related Experiment Videos

Self-assessed competence: before and after residency

M Speechley1, W W Weston, G L Dickie

  • 1Department of Physical Therapy, University of Western Ontario, London.

Canadian Family Physician Medecin De Famille Canadien
|March 1, 1994
PubMed
Summary

Family practice residents gained clinical confidence during their training, but new knowledge gaps also emerged. This study tracked self-assessed competence in 177 medical topics over two years.

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Area of Science:

  • Medical Education
  • Family Medicine

Background:

  • Assessing resident confidence is crucial for effective medical training.
  • Understanding evolving self-assessed competence informs curriculum development.

Purpose of the Study:

  • To measure changes in clinical confidence among family practice residents.
  • To identify specific areas of confidence and concern throughout a 2-year residency program.

Main Methods:

  • Longitudinal study involving 42 family practice residents.
  • Assessment of self-reported clinical confidence across 177 medical topics at baseline and during residency.

Main Results:

  • Initially, over 20% of residents lacked confidence in 47 of 177 topics.
  • Significant increases in self-assessed competence were observed in numerous areas.

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  • New areas of uncertainty emerged as residents progressed through the program.

    • Conclusions:

    • Family practice residency enhances resident confidence in many clinical areas.
    • The dynamic nature of medical knowledge necessitates ongoing evaluation of resident preparedness and evolving confidence levels.