Evidence map›Paper›PMID 42550932›Full record

Observational studySouthern medical journal2026

Mind the Gap: Rethinking Procedural Skill Assessment in Medical Residency.

Pete Meliagros, Adam Garber, Matthew Ambrosio, Le Kang, Rebecca Forrest

Abstract readObservational Study
In one paragraph

Observational study in Southern medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Pete MeliagrosFrom the Department of Internal Medicine, Division of Hospital Medicine, Virginia Commonwealth University Health, Richmond.ORCID https://orcid.org/0000-0001-6464-8832
Adam GarberFrom the Department of Internal Medicine, Division of Hospital Medicine, Virginia Commonwealth University Health, Richmond.
Matthew AmbrosioVirginia Commonwealth University, Richmond, Virginia.
Le KangVirginia Commonwealth University, Richmond, Virginia.
Rebecca ForrestInternal Medicine Training Program, Department of Internal Medicine, Division of Hospital Medicine, Virginia Commonwealth University School of Medicine, Richmond.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to investigate the efficacy of various assessment tools in accurately evaluating resident proficiency in bedside procedures and to determine the potential value of incorporating self-assessment as a means to bridge the "competency gap" between perceived and actual procedural skill.

methodsThis retrospective, observational study evaluated resident performance of two common bedside procedures using evidence-based global rating scales (GRSs) and procedural checklists. We additionally compared supervisor assessments with resident self-assessments to identify discrepancies. Residents were assessed by a small group of expert faculty on a medicine procedure service at Virginia Commonwealth University from June 2016 to July 2020.

resultsMost residents (94% and 79%) performed all of the procedural checklist items. Only 79% and 48% of residents achieved both a GRS score ≥4 and completed all of the items on the checklist for each respective procedure. Residents were significantly more likely to perform all items on the checklist than obtain a GRS score ≥4 (

conclusionsThe combined use of comprehensive performance checklists and GRSs, coupled with deliberate self-evaluation coaching and timely feedback, provides a more comprehensive and precise evaluation of procedural performance.

Indexed as

Clinical CompetenceEducational MeasurementInternship and ResidencyChecklistFemaleHumansRetrospective StudiesSelf-Assessment

Identifiers

PMID42550932
PMCPMC13390981

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.