Milestone Ratings and Supervisory Role Categorizations Swim Together, but Is the Water Muddy?
This single-specialty, multi-institutional study aimed to determine 1) the association between milestone ratings for individual competencies and average milestone ratings (AMRs) and 2) the association between AMRs and recommended supervisory role categorizations made by individual clinical competenc...
| Publicado en: | Academic Pediatrics Vol. 19; no. 2; pp. 144 - 152 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Mar2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136154785&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136154785 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Mar2019 vid: 19 iid: 2 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 136154785 136154785 136154785 10.1016/j.acap.2018.06.002 136154785 ppf: 144 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Milestone Ratings and Supervisory Role Categorizations Swim Together, but Is the Water Muddy? aug: au: Schumacher, Daniel J. Bartlett, Kathleen W. Elliott, Sean P. Michelson, Catherine Sharma, Tanvi Garfunkel, Lynn C. King, Beth Schwartz, Alan affil: Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati (DJ Schumacher), Cincinnati, Ohio sug: subj: Clinical Competence Clinical Supervision Committees Human Multicenter Studies Factor Analysis Interns and Residents Exploratory Research Logistic Regression ab: This single-specialty, multi-institutional study aimed to determine 1) the association between milestone ratings for individual competencies and average milestone ratings (AMRs) and 2) the association between AMRs and recommended supervisory role categorizations made by individual clinical competency committee (CCC) members. During the 2015–16 academic year, CCC members at 14 pediatric residencies reported milestone ratings for 21 competencies and recommended supervisory role categories (may not supervise, may supervise in some settings, may supervise in all settings) for residents they reviewed. An exploratory factor analysis of competencies was conducted. The associations among individual competencies, the AMR, and supervisory role categorizations were determined by computing bivariate correlations. The relationship between AMRs and recommended supervisory role categorizations was examined using an ordinal mixed logistic regression model. Of the 155 CCC members, 68 completed both milestone assignments and supervision categorizations for 451 residents. Factor analysis of individual competencies controlling for clustering of residents in raters and sites resulted in a single-factor solution (cumulative variance: 0.75). All individual competencies had large positive correlations with the AMR (correlation coefficient: 0.84–0.93), except for two professionalism competencies (Prof1: 0.63 and Prof4: 0.65). When combined across training year and time points, the AMR and supervisory role categorization had a moderately positive correlation (0.56). This exploratory study identified a modest correlation between average milestone ratings and supervisory role categorization. Convergence of competencies on a single factor deserves further exploration, with possible rater effects warranting attention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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