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Do faculty clinical skills correlate with their ratings of residents’ clinical skills during standardized patient encounters?


Kogan JR. — University of Pennsylvania School of Medicine

Conforti L, Hess BJ, Holmboe ES. — American Board of Internal Medicine

Presented: 14th Ottawa Conference, May 2010

Background: Factors underlying suboptimal quality of faculty assessments of medical trainees' clinical skills are poorly understood. Whether faculty's own clinical skills influence their rating behaviors is unknown. We hypothesized faculty with better clinical skills would be more stringent rating residents’ clinical skills.

Summary of Work: Forty-three internal medicine faculty (12 institutions) completed eight standardized patient (SP) scenarios. SPs rated history, physical examination, counseling skills and “patient” satisfaction. Faculty watched videos of scripted residents in four SP scenarios and rated each resident using the ABIM Mini-CEX.

Summary of Results: Controlling for precepting experience, faculty's own history skills were inversely correlated with their Mini-CEX ratings of residents’ interviewing (r = -.49, p<.01) and organizational skills (r = -.35, p<.05). Faculty’s “patient” satisfaction ratings were inversely correlated with their ratings of residents' physical exam and organizational skills (r = -.32 and r = -.33; ps<.05).

Conclusions: Faculty with better history-taking skills and patient satisfaction rated residents more stringently.

Take-Home Message: Faculty's own clinical skill behaviors may explain some variance in rating residents.

For more information about this presentation, please contact Research@abim.org.