Pfister, Christoph; Lipp, E; Beyeler, Christine (2008). Self-assessment insufficiently predicts performance in emergency skills. In: AMEE 2008. Prag. 02.09.2008.
Background: Residents demonstrate a broad range of performance levels for clinical skills, with some at an inadequate level.
Adequate self-assessment is important for life long learning. However, its accuracy is questioned extensively. The aim of this study
was to evaluate how far the residents’ self-assessment predicts their performance in an expert assessment of emergency skills.
Summary of work: Twelve skills were identified as being relevant for the emergency duties of residents in smaller hospitals. Fifteen
first-year residents from the departments of internal medicine and general surgery at a district hospital rated their performance on
a questionnaire (self-assessment). This was followed by a structured, practical in vivo assessment by an anaesthesiologist (expert
assessment). For both, a visual analogue scale from 0 to 10 was used, on which 0 stands for novice and 10 for expert. Predictive
validity was described by Spearman’s correlation, which was significant in 3 out of 12 skills only. Median correlation (r) was 0.50 (range
0.16 to 0.93).
Conclusion: At the beginning of postgraduate training, self-assessment alone is not sufficient to guide self-directed learning.
Take-home message: At the beginning of their residency, physicians need structured feedback in emergency skills which can be
offered by anaesthesiologists.
Item Type: |
Conference or Workshop Item (Poster) |
---|---|
Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute for Medical Education > Assessment and Evaluation Unit (AAE) |
UniBE Contributor: |
Pfister, Christoph Alexander, Beyeler, Christine |
Language: |
English |
Submitter: |
Eveline Götschmann-Meile |
Date Deposited: |
04 Oct 2013 15:07 |
Last Modified: |
02 Mar 2023 23:23 |
URI: |
https://boris.unibe.ch/id/eprint/29085 (FactScience: 136618) |