Supervisor–trainee continuity and the quality of work‐based assessments
Notice bibliographique
Résumé
Context Work‐based assessments ( WBA s) represent an increasingly important means of reporting expert judgements of trainee competence in clinical practice. However, the quality of WBA s completed by clinical supervisors is of concern. The episodic and fragmented interaction that often occurs between supervisors and trainees has been proposed as a barrier to the completion of high‐quality WBA s. Objectives The primary purpose of this study was to determine the effect of supervisor–trainee continuity on the quality of assessments documented on daily encounter cards ( DEC s), a common form of WBA . The relationship between trainee performance and DEC quality was also examined. Methods Daily encounter cards representing three differing degrees of supervisor–trainee continuity (low, intermediate, high) were scored by two raters using the Completed Clinical Evaluation Report Rating ( CCERR ), a previously published nine‐item quantitative measure of DEC quality. An analysis of variance ( anova ) was performed to compare mean CCERR scores among the three groups. Linear regression analysis was conducted to examine the relationship between resident performance and DEC quality. Results Differences in mean CCERR scores were observed between the three continuity groups (p = 0.02); however, the magnitude of the absolute differences was small (partial eta‐squared = 0.03) and not educationally meaningful. Linear regression analysis demonstrated a significant inverse relationship between resident performance and CCERR score (p < 0.001, r 2 = 0.18). This inverse relationship was observed in both groups representing on‐service residents (p = 0.001, r 2 = 0.25; p = 0.04, r 2 = 0.19), but not in the Off‐service group (p = 0.62, r 2 = 0.05). Conclusions Supervisor–trainee continuity did not have an educationally meaningful influence on the quality of assessments documented on DEC s. However, resident performance was found to affect assessor behaviours in the On‐service group, whereas DEC quality remained poor regardless of performance in the Off‐service group. The findings suggest that greater attention should be given to determining ways of improving the quality of assessments reported for off‐service residents, as well as for those residents demonstrating appropriate clinical competence progression.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,023 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».