Journal article
Thresholds and interpretations: How clinical competency committees identify pediatric residents with performance concerns
Medical teacher, v 40(1), pp 70-79
01 Jan 2018
PMID: 29345207
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- Thresholds and interpretations: How clinical competency committees identify pediatric residents with performance concerns
- Creators
- Daniel J. Schumacher - Cincinnati Children's Hospital Medical CenterCatherine Michelson - Boston Medical CenterSue Poynter - Cincinnati Children's Hospital Medical CenterMichelle M. Barnes - University of Illinois at ChicagoSu-Ting T. Li - University of California, DavisNatalie Burman - Naval Medical Center San DiegoDaniel J. Sklansky - University of Wisconsin–MadisonLynn Thoreson - The University of Texas at AustinSharon Calaman - St. Christopher's Hospital for ChildrenBeth King - Association of Pediatric Program DirectorsAlan Schwartz - Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, USA; ; Association of Pediatric Program Directors (APPD) Longitudinal Educational Assessment Research Network (LEARN), McLean, VA, USAAPPD LEARN CCC Study Grp
- Publication Details
- Medical teacher, v 40(1), pp 70-79
- Publisher
- Taylor & Francis
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000423553400009
- Scopus ID
- 2-s2.0-85041199289
- Other Identifier
- 991019167726004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Health Care Sciences & Services