Evidence map›Paper›PMID 25078926›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2014

How to assess communication, professionalism, collaboration and the other intrinsic CanMEDS roles in orthopedic residents: use of an objective structured clinical examination (OSCE).

Tim Dwyer, Susan Glover Takahashi, Melissa Kennedy Hynes, Jodi Herold, David Wasserstein, Markku Nousiainen, Peter Ferguson, Veronica Wadey, M Lucas Murnaghan, Tim Leroux and 3 more

Abstract readEvaluation Study
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  11. Evaluation of inter-professional communication and leadership skills among graduating Canadian urology residents.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Tim DwyerThe Women's College Hospital, Mt. Sinai Hospital, Toronto, Ont.
Susan Glover TakahashiThe Postgraduate Medicine Office, University of Toronto, Toronto, Ont.
Melissa Kennedy HynesThe Postgraduate Medicine Office, University of Toronto, Toronto, Ont.
Jodi HeroldThe University of Toronto, Toronto, Ont.
David WassersteinThe University of Toronto, Toronto, Ont.
Markku NousiainenThe Holland Orthopaedic and Arthritic Centre, Toronto, Ont.
Peter FergusonThe Mt. Sinai Hospital, Toronto, Ont.
Veronica WadeyThe Sunnybrook Health Sciences Centre, Toronto, Ont.
M Lucas MurnaghanThe Women's College Hospital, University of Toronto Orthopaedics Sports Medicine, and the Hospital for Sick Children, Toronto, Ont.
Tim LerouxThe University of Toronto, Toronto, Ont.
John SempleThe Women's College Hospital, Toronto, Ont.
Brian HodgesThe Toronto General Hospital, Toronto, Ont.
Darrell Ogilvie-HarrisThe Women's College Hospital, The Hospital for Sick Children, and Toronto Western Hospital, Toronto, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessing residents' understanding and application of the 6 intrinsic CanMEDS roles (communicator, professional, manager, collaborator, health advocate, scholar) is challenging for postgraduate medical educators. We hypothesized that an objective structured clinical examination (OSCE) designed to assess multiple intrinsic CanMEDS roles would be sufficiently reliable and valid.

methodsThe OSCE comprised 6 10-minute stations, each testing 2 intrinsic roles using case-based scenarios (with or without the use of standardized patients). Residents were evaluated using 5-point scales and an overall performance rating at each station. Concurrent validity was sought by correlation with in-training evaluation reports (ITERs) from the last 12 months and an ordinal ranking created by program directors (PDs).

resultsTwenty-five residents from postgraduate years (PGY) 0, 3 and 5 participated. The interstation reliability for total test scores (percent) was 0.87, while reliability for each of the communicator, collaborator, manager and professional roles was greater than 0.8. Total test scores, individual station scores and individual CanMEDS role scores all showed a significant effect by PGY level. Analysis of the PD rankings of intrinsic roles demonstrated a high correlation with the OSCE role scores. A correlation was seen between ITER and OSCE for the communicator role, while the ITER medical expert and total scores highly correlated with the communicator, manager and professional OSCE scores.

conclusionAn OSCE designed to assess the intrinsic CanMEDS roles was sufficiently valid and reliable for regular use in an orthopedic residency program.

Indexed as

CommunicationCooperative BehaviorPhysician's RoleCanadaClinical CompetenceEducational MeasurementEducation, Medical, GraduateHumansInternship and ResidencyOrthopedicsReproducibility of Results

Identifiers

PMID25078926
PMCPMC4119113

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.