Department of Medical Education, Physical Medicine and Rehabilitation, Brody School of Medicine, East Carolina University, Greenville, North Carolina 27834, USA.
Am J Phys Med Rehabil. 2010 Mar;89(3):235-44. doi: 10.1097/PHM.0b013e3181cf1b30.
To assess the psychometric qualities of a method of resident physician evaluation by faculty.
Multicenter study by seven Physical Medicine and Rehabilitation training programs. Faculty physicians observed residents in brief patient encounters or teaching sessions, rated specific competencies, and provided residents with immediate feedback. The resident observation and competency assessment form included competencies in patient care, professionalism, interpersonal and communication skills, systems-based practice, and practice-based learning and improvement. Residents and faculty rated satisfaction with the process.
Three hundred sixty-two ratings were completed on 88 different residents. Each resident received an average of 3.8 ratings across two academic years. Overall internal consistency reliability was high (0.98); reliability of the individual competencies ranged from 0.74 to 0.76. Item means were correlated with year of training for two skill sets, with higher means for more experienced residents. The majority of participants gave high ratings of satisfaction; correlation between satisfaction ratings of attending and resident physicians was 0.63 (P < 0.01).
The resident observation and competency assessment is a reliable method to assess resident skills in five of six general competencies. Construct validity of the tool is supported by the fact that faculty rated two skill sets higher for senior residents.
评估教师对住院医师进行评估的方法的心理测量学质量。
七个物理医学与康复培训项目的多中心研究。教师医生在简短的患者就诊或教学会议中观察住院医师，对特定的能力进行评分，并为住院医师提供即时反馈。住院医师观察和能力评估表包括患者护理、专业精神、人际和沟通技巧、基于系统的实践以及基于实践的学习和改进方面的能力。住院医师和教师对该过程的满意度进行了评分。
在 88 名不同的住院医师中完成了 362 次评分。每位住院医师在两个学年中平均接受了 3.8 次评分。总体内部一致性信度较高（0.98）；个别能力的可靠性范围从 0.74 到 0.76。项目平均值与两个技能组的培训年限相关，经验更丰富的住院医师的平均值更高。大多数参与者对满意度给予了高度评价；主治医生和住院医师的满意度评分之间的相关性为 0.63（P < 0.01）。
住院医师观察和能力评估是评估住院医师在六个一般能力中的五个能力的可靠方法。该工具的结构有效性得到了支持，即教师为高级住院医师的两个技能组评分更高。
