ArticleBMC medical education2025
What is the predictive validity of clinical placement sign-off forms for medical students?
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- What are Supervisor Perceptions of Clinical Placement Sign-off Forms for Medical Students?Advances in medical education and practice · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvaluation of clinical performance is essential in all medical school programmes. Students undergo multiple clinical placements in different disciplines and settings, and typically must pass an end-of-placement supervisor sign-off evaluation to progress. However, the validity of this sign-off model remains unclear. This study aims to assess the extent to which this assessment method predicts performance in summative medical school examinations.
methodsWe compared summative knowledge and clinical skills examination scores with end-of-placement supervisor sign-off ratings of ‘knowledge’, ‘clinical skills’ and ‘practical skills’ for medical undergraduate students, across three clinical placements at Imperial College London, UK (n = 355). Statistical analysis for predictive validity was performed through Ordinary Least Squares regression.
resultsEnd-of-placement supervisor ratings in hospital did not significantly predict student performance in summative knowledge tests or clinical skills assessment. ‘Knowledge’ and ‘practical skills’ ratings lacked predictive validity across all supervisors. Statistically significant predictive validity was evident for GP supervisor ratings of ‘clinical skills’ and examination scores, but the effect size was educationally insignificant (p = 0.01, r2 = 0.02).
conclusionsEnd-of-placement supervisor ratings did not demonstrate educationally significant predictive validity towards end-of-year examinations. Multi-source feedback, embedded in-placement assessment, and additional formalised supervision time in supervisors’ work schedules could be beneficial to improve the educational value for the student and the clinical placement sign-off process. Different sign-off requirements could be considered for GP and hospital settings, with tailoring of constructs to suit the clinical environment.
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