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Do Obgyn Residents and the CCC Reach the Same Competency Conclusions? A Comparison of Resident versus Faculty Milestone Assessments
objective was to compare resident self-assessments to CCC evaluations within
the milestone framework.
Background: Resident progress across 28 milestones are evaluated biannually by a
clinical competency committee (CCC). We
sought to determine the correlation in milestone assessment between the CCC and
individual resident’s self assessment.
Methods: Retrospective study that compares resident self assessment of milestone
competency to that of the CCC. Milestone
assessment differences were calculated by subtracting the resident score from
the faculty score. A negative value
indicates that the CCC evaluated residents at a lower level than the resident’s
self assessment. Kruskal Wallis test was
used to identify differences between self-evaluations and corresponding CCC
evaluations for each competency. Dunn’s
post hoc test was used to determine specific differences. Major disparities were defined as a mean
disparity > 0.5 in either direction.
The association between assessment disparity and PGY year was analyzed
using non parametric chisquare. P
Results: 15 residents participated. Overall,
32%(129/409) of the time residents and CCC were in agreement. The global median assessment difference was
significant [-0.20(-0.5-0.5), P<0.003] suggesting residents evaluated
themselves at a higher level than the CCC did. 19% evaluations had a mean
overall assessment difference > -0.5 (residents assessed at a higher level
than CCC), whereas 8% had a difference >0.5.
Positive self-evaluations were more common for medical knowledge and
patient care. There was no association
between PGY year and CCC agreement.
residents within our program trended toward perceiving a greater level of
patient care and medical knowledge and underestimated their competency in PBLI,
SBP and ICS. Understanding these differences
will help PDs at their biannual progress meetings with residents.
CREOG & APGO Annual Meeting, 2018, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, Professionalism, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, GME, Assessment, Problem-Based Learning, General Ob-Gyn,