Evidence map›Paper›PMID 37929204›Full record

ArticlePerspectives on medical education2023

An Analysis of Written and Numeric Scores in End-of-Rotation Forms from Three Residency Programs.

Lauren M Anderson, Kathleen Rowland, Deborah Edberg, Katherine M Wright, Yoon Soo Park, Ara Tekian

Abstract read
In one paragraph

Article in Perspectives on medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Lauren M AndersonDepartment of Family and Preventive Medicine, Rush University, Chicago, Illinois, US.ORCID 0000-0003-4616-971X
Kathleen RowlandDepartment of Family and Preventive Medicine, Rush University, Chicago, Illinois, US.ORCID 0000-0002-1383-0279
Deborah EdbergDepartment of Family and Preventive Medicine, Rush University, Chicago, Illinois, US.ORCID 0000-0001-9654-4763
Katherine M WrightDepartment of Family & Community Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, US.ORCID 0000-0001-5967-8156
Yoon Soo ParkDepartment of Medical Education, University of Illinois Chicago, Chicago, Illinois, US.ORCID 0000-0001-8583-4335
Ara TekianDepartment of Medical Education, University of Illinois Chicago, Chicago, Illinois, US.ORCID 0000-0002-9252-1588

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: End-of-Rotation Forms (EORFs) assess resident progress in graduate medical education and are a major component of Clinical Competency Committee (CCC) discussion. Single-institution studies suggest EORFs can detect deficiencies, but both grades and comments skew positive. In this study, we sought to determine whether the EORFs from three programs, including multiple specialties and institutions, produced useful information for residents, program directors, and CCCs. Methods: Evaluations from three programs were included (Program 1, Institution A, Internal Medicine: n = 38; Program 2, Institution A, Anesthesia: n = 9; Program 3, Institution B, Anesthesia: n = 11). Two independent researchers coded each written comment for relevance (specificity and actionability) and orientation (praise or critical) using a standardized rubric. Numeric scores were analyzed using descriptive statistics. Results: 4869 evaluations were collected from the programs. Of the 77,434 discrete numeric scores, 691 (0.89%) were considered "below expected level." 71.2% (2683/3767) of the total written comments were scored as irrelevant, while 3217 (85.4%) of total comments were scored positive and 550 (14.6%) were critical. When combined, 63.2% (n = 2379) of comments were scored positive and irrelevant while 6.5% (n = 246) were scored critical and relevant. Discussion: <1% of comments indicated below average performance; >70% of comments scored irrelevant. Critical, relevant comments were least frequently observed, consistent across all 3 programs. The low rate of constructive feedback and the high rate of irrelevant comments are inadequate for a CCC to make informed decisions. The consistency of these findings across programs, specialties, and institutions suggests both local and systemic changes should be considered.

Indexed as

AnesthesiologyInternship and ResidencyEducation, Medical, GraduateHumansInternal Medicine

Identifiers

PMID37929204
PMCPMC10624145

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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.