Pilot study of a 360-degree assessment instrument for physical medicine & rehabilitation residency programs

被引：2
作者：
Musick, David W. [1 ]
McDowell, Susan M. [2 ]
Clark, Nedra [3 ]
Salcido, Richard [1 ]
机构：
[1] Univ. of Pennsylvania Sch. of Med., Dept. of Rehabilitation Medicine, Philadelphia, PA 19104, 5 West Gates
[2] Department of Physical Medicine, Univ. of Kentucky Coll. of Medicine, Lexington, KY
[3] Cardinal Hill Rehab. Hospital, Lexington, KY
来源：
American Journal of Physical Medicine and Rehabilitation | 2003年 / 82卷 / 05期
关键词：
360-degree evaluation; Clinical performance assessment; Graduate medical education;
D O I：
10.1097/00002060-200305000-00016
中图分类号：
学科分类号：
摘要：
Objective: To perform a pilot test on a new format for multidisciplinary assessment of resident physicians' professionalism and clinical performance in acute inpatient rehabilitation settings. Design: In this pilot study, a 26-item ratings instrument was developed for use by therapists, nurses, social workers, case managers, and psychologists to rate inpatient residents. Results: A total of 421 ratings forms were returned over four academic years. Alpha reliability coefficient for instrumentation sample was 0.99. X2 and analysis of variance procedures examined item mean differences. Significant differences (P ≤ 0.05) were found based on resident sex (17 items) and rotation setting (20 items). No significant differences were found based on rater profession; mean ratings by profession ranged from 6.67 (physical therapists) to 7.46 (case managers). Conclusions: Psychometric properties of this new ratings format are encouraging. The tool was a useful way to provide formative feedback to residents regarding professionalism and performance. Residency program directors can use this approach to fulfill Accreditation Council for Graduate Medical Education mandates to use a variety of assessment methods regarding resident education. However, potential sex bias and other issues affecting performance ratings should be considered in interpreting results and warrant further study.
引用
收藏
页码：394 / 402
页数：8
相关论文
共 26 条
  • [1] ACGME Outcome Project: Enhancing Residency Education Through Outcomes Assessment, (2000)
  • [2] Dauphinee W.D., Blackmore D.E., Assessing the assessor's assessment, Med Educ, 35, pp. 317-318, (2001)
  • [3] Epstein R.M., Hundert E.M., Defining and assessing professional competence, JAMA, 287, pp. 226-235, (2002)
  • [4] Program Requirements for Residency Education in Physical Medicine and Rehabilitation (Section III. A: 2b
  • [5] Section VI. A. 1), (2001)
  • [6] Belfield C., Hywel T., Bullock A., Et al., Measuring effectiveness for best evidence medical education: A discussion, Med Teacher, 23, pp. 164-170, (2001)
  • [7] Evidence-based medicine: A new approach to teaching the practice of medicine, JAMA, 268, pp. 2420-2425, (1992)
  • [8] Brett J.F., Atwater L.E., 360-Degree feedback: Accuracy, reactions and perceptions of usefulness, J Appl Psychol, 86, pp. 930-942, (2001)
  • [9] Wells S.J., Traveling beyond 360-degree evaluations, HR Magazine: Society for Human Resource Management, 44, pp. 82-91, (1999)
  • [10] Gray J., Global rating scales in residency education, AcadMed, 71, (1996)
123