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Thresholds and interpretations: How clinical competency committees identify pediatric residents with performance concerns.
Schumacher, Daniel J; Michelson, Catherine; Poynter, Sue; Barnes, Michelle M; Li, Su-Ting T; Burman, Natalie; Sklansky, Daniel J; Thoreson, Lynn; Calaman, Sharon; King, Beth; Schwartz, Alan; Elliott, Sean; Sharma, Tanvi; Gonzalez Del Rey, Javier; Bartlett, Kathleen; Scott-Vernaglia, Shannon E; Gibbs, Kathleen; McGreevy, Jon F; Garfunkel, Lynn C; Gellin, Caren; Frohna, John G.
Afiliación
  • Schumacher DJ; a Department of Pediatrics , Cincinnati Children's Hospital Medical Center, University of Cincinnati , Cincinnati , OH , USA.
  • Michelson C; b Department of Pediatrics , Boston Medical Center, Boston University School of Medicine , Boston , MA , USA.
  • Poynter S; a Department of Pediatrics , Cincinnati Children's Hospital Medical Center, University of Cincinnati , Cincinnati , OH , USA.
  • Barnes MM; c Department of Pediatrics , University of Illinois at Chicago , Chicago , IL , USA.
  • Li ST; d Department of Pediatrics , University of California Davis , Sacramento , CA , USA.
  • Burman N; e Department of Pediatrics , Naval Medical Center San Diego , San Diego , CA , USA.
  • Sklansky DJ; f Department of Pediatrics , University of Wisconsin School of Medicine and Public Health , Madison , WI , USA.
  • Thoreson L; g Department of Pediatrics , The University of Texas at Austin , Austin , TX , USA.
  • Calaman S; h Department of Pediatrics , St. Christopher's Hospital for Children, Drexel University College of Medicine , Philadelphia , PA , USA.
  • King B; i Association of Pediatric Program Directors (APPD) Longitudinal Educational Assessment Research Network (LEARN) , McLean , VA , USA.
  • Schwartz A; c Department of Pediatrics , University of Illinois at Chicago , Chicago , IL , USA.
Med Teach ; 40(1): 70-79, 2018 01.
Article en En | MEDLINE | ID: mdl-29345207
BACKGROUND: Clinical competency committee (CCC) identification of residents with performance concerns is critical for early intervention. METHODS: Program directors and 94 CCC members at 14 pediatric residency programs responded to a written survey prompt asking them to describe how they identify residents with performance concerns. Data was analyzed using thematic analysis. RESULTS: Six themes emerged from analysis and were grouped into two domains. The first domain included four themes, each describing a path through which residents could meet or exceed a concern threshold:1) written comments from rotation assessments are foundational in identifying residents with performance concerns, 2) concerning performance extremes stand out, 3) isolated data points may accumulate to raise concern, and 4) developmental trajectory matters. The second domain focused on how CCC members and program directors interpret data to make decisions about residents with concerns and contained 2 themes: 1) using norm- and/or criterion-referenced interpretation, and 2) assessing the quality of the data that is reviewed. CONCLUSIONS: Identifying residents with performance concerns is important for their education and the care they provide. This study delineates strategies used by CCC members across several programs for identifying these residents, which may be helpful for other CCCs to consider in their efforts.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pediatría / Competencia Clínica / Evaluación Educacional / Internado y Residencia Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Med Teach Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pediatría / Competencia Clínica / Evaluación Educacional / Internado y Residencia Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Med Teach Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido