Journal article
Justifications for Discrepancies Between Competency Committee and Program Director Recommended Resident Supervisory Roles
Academic pediatrics, v 19(5), pp 561-565
Jul 2019
PMID: 30572027
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To explore justifications for differences between summative entrustment decisions made about pediatric residents by individuals who are charged with the review of residents (clinical competency committee, or CCC, members) and those who ultimately make final summative decisions about resident performance (program directors, or PDs).
Individual CCC member and PD supervisory role categorizations were made in the 2015 to 2016 academic year at 14 pediatric residency programs, placing residents into 1 of 5 progressive supervisory roles. When PD recommendations differed from CCC members, a free-text justification was requested. Free-text responses were analyzed using manifest content analysis.
In total, 801 supervisory role categorizations were made by both CCC members and PDs, with the same recommendations made in 685 cases. In the 116 instances of discrepancy, PDs assigned a lower level of supervisory responsibility (n = 73) more often than a greater one (n = 43). When moving residents to a greater supervisory role category, PDs had more justifications anchored in resident performance than experience. When moving residents to a lower supervisory role categorization, PDs conversely noted experience more than performance.
PDs provide more justifications anchored in resident performance when moving residents to a greater supervisory role category compared with CCC members. However, when moving residents to a lower supervisory role categorization, they note experience more than performance. These patterns may or may not be entirely consistent with a competency-based approach and should be explored further.
Metrics
Details
- Title
- Justifications for Discrepancies Between Competency Committee and Program Director Recommended Resident Supervisory Roles
- Creators
- Daniel J. Schumacher - Cincinnati Children's Hospital Medical CenterSue Poynter - Cincinnati Children's Hospital Medical CenterNatalie Burman - Naval Medical Center San DiegoSean P. Elliott - University of ArizonaMichelle Barnes - University of Illinois at ChicagoCaren Gellin - University of RochesterJavier Gonzalez del Rey - Department of Pediatrics (DJ Schumacher, S Poynter, and J Gonzalez del Rey), Cincinnati Children's Hospital Medical Center/University of Cincinnati, OhioDaniel Sklansky - University of Wisconsin–MadisonLynn Thoreson - The University of Texas at AustinBeth King - Association of Pediatric Program Directors (APPD) Longitudinal Educational Assessment Research Network (LEARN) (B King and A Schwartz), McLean, Va.Alan Schwartz - University of Illinois at Chicagothe APPD LEARN CCC Study GroupSharon Calaman - Pediatrics
- Publication Details
- Academic pediatrics, v 19(5), pp 561-565
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000475720600015
- Scopus ID
- 2-s2.0-85060349853
- Other Identifier
- 991019167869804721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics