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Tip of the Week: Assess the end-of-rotation evaluation

Residency Program Connection, February 24, 2009

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Residency program directors and coordinators often complain that their evaluations do not give them enough meaningful information to accurately assess residents’ competency or the quality of the rotation. Boost the effectiveness of your program’s evaluations by asking faculty, residents, and graduates the following questions:

• Does this evaluation capture useful information about the residents’ performance?
• Does it include information on all six of the ACGME’s core competencies?
• Are there questions you might want to add or subtract?
• Would adding a description of the categories help faculty and residents understand what a 3 on a 5-point scale is, for example?
• Can faculty describe what specific behaviors/performance would constitute “failing” at category, “competent” in a category, and “outstanding” in a category?
• Would a faculty practice session, such as observing a role play or video of a resident’s performance or asking faculty to rate the performance and then compare ratings, improve consistency of evaluation?
• Is there grade inflation?

This week’s tip comes from Insider’s Guide to the ACGME Site Visit, Second Edition, by Kathryn Andolsek, MD, MPH, and Shepard Cohen.

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