Is There a Gap Between Program Directorsʼ Expectations and Residentsʼ Performance? Comparing Predictions With Outcomes for Competence in Patient Care

Carraccio, Carol; Englander, Robert; Adams, David B.; Giudice, Erin; Olsen, Alice

doi:10.1097/acm.0b013e3181e16119

Cited by 7 publications

(2 citation statements)

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“…Perhaps their motivation was lower due to the lack of the incentive of an otherwise desired technical device, which may have been an additional stimulus beyond the actual education software in the tablet computer group. While commonly employed and well proven according to some[18, 19], measurements and metrics may actually also deteriorate individual physician performance[20, 21]. Our study design was unable to detect any such an effect.…”

Section: Discussionmentioning

confidence: 74%

Tablet computer enhanced training improves internal medicine exam performance

2017

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BackgroundTraditional teaching concepts in medical education do not take full advantage of current information technology. We aimed to objectively determine the impact of Tablet PC enhanced training on learning experience and MKSAP® (medical knowledge self-assessment program) exam performance.MethodsIn this single center, prospective, controlled study final year medical students and medical residents doing an inpatient service rotation were alternatingly assigned to either the active test (Tablet PC with custom multimedia education software package) or traditional education (control) group, respectively. All completed an extensive questionnaire to collect their socio-demographic data, evaluate educational status, computer affinity and skills, problem solving, eLearning knowledge and self-rated medical knowledge. Both groups were MKSAP® tested at the beginning and the end of their rotation. The MKSAP® score at the final exam was the primary endpoint.ResultsData of 55 (tablet n = 24, controls n = 31) male 36.4%, median age 28 years, 65.5% students, were evaluable. The mean MKSAP® score improved in the tablet PC (score Δ + 8 SD: 11), but not the control group (score Δ- 7, SD: 11), respectively. After adjustment for baseline score and confounders the Tablet PC group showed on average 11% better MKSAP® test results compared to the control group (p<0.001). The most commonly used resources for medical problem solving were journal articles looked up on PubMed or Google®, and books.ConclusionsOur study provides evidence, that tablet computer based integrated training and clinical practice enhances medical education and exam performance. Larger, multicenter trials are required to independently validate our data. Residency and fellowship directors are encouraged to consider adding portable computer devices, multimedia content and introduce blended learning to their respective training programs.

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Section: Discussionmentioning

confidence: 74%

Tablet computer enhanced training improves internal medicine exam performance

2017

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“…Accreditation is a voluntary process for higher education institutions, but Ewell 2008 (Brittingham, 2009;Ewell, 2008), but that the standards must also enable the educators to personalize their programs to meet the needs of their students (Carraccio, Englander, Adams, Giudice, & Olsen, 2010).…”

Section: Accreditationmentioning

confidence: 99%

Influence of Dietetic Internship Directors' Involvement with Research on the Research Curriculum in Dietetic Internship Programs

Newell¹

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Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination

Camp

Degen

Hanssen

et al. 2018

Journal of Surgical Education

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Is There a Gap Between Program Directorsʼ Expectations and Residentsʼ Performance? Comparing Predictions With Outcomes for Competence in Patient Care

Abstract: Program directors' expectations predicted residents' actual performance for the majority of patient care learning objectives. The authors offer lessons learned to inform the next iteration of performance standards for clinical competence.

Cited by 7 publications

References 5 publications

Tablet computer enhanced training improves internal medicine exam performance

Tablet computer enhanced training improves internal medicine exam performance

Influence of Dietetic Internship Directors' Involvement with Research on the Research Curriculum in Dietetic Internship Programs

Residents and Program Director Perspectives Often Differ on Optimal Preparation Strategies and the Value of the Orthopedic In-Training Examination

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