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Agreement of Program Directors With Clinical Competency Committees for Fellow Entrustment.

Publication ,  Journal Article
Mink, R; Herman, BE; Carraccio, C; Aye, T; Baffa, JM; Chess, PR; Fussell, JJ; Sauer, CG; Stafford, DEJ; Weiss, P; Curran, ML; Dammann, CEL ...
Published in: J Med Educ Curric Dev
2020

OBJECTIVES: Fellowship program directors (FPD) and Clinical Competency Committees (CCCs) both assess fellow performance. We examined the association of entrustment levels determined by the FPD with those of the CCC for 6 common pediatric subspecialty entrustable professional activities (EPAs), hypothesizing there would be strong correlation and minimal bias between these raters. METHODS: The FPDs and CCCs separately assigned a level of supervision to each of their fellows for 6 common pediatric subspecialty EPAs. For each EPA, we determined the correlation between FPD and CCC assessments and calculated bias as CCC minus FPD values for when the FPD was or was not a member of the CCC. In addition, we examined the effect of program size, FPD understanding of EPAs, and subspecialty on the correlations. Data were obtained in fall 2014 and spring 2015. RESULTS: A total of 1040 fellows were assessed in the fall and 1048 in the spring. In both periods and for each EPA, there was a strong correlation between FPD and CCC supervision levels (P < .001). The correlation was somewhat lower when the FPD was not a CCC member (P < .001). Overall bias in both periods was small. CONCLUSIONS: The correlation between FPD and CCC assignment of EPA supervision levels is strong. Although slightly weaker when the FPD is not a CCC member, bias is small, so this is likely unimportant in determining fellow entrustment level. The similar performance ratings of FPDs and CCCs support the validity argument for EPAs as competency-based assessment tools.

Duke Scholars

Published In

J Med Educ Curric Dev

DOI

ISSN

2382-1205

Publication Date

2020

Volume

7

Start / End Page

2382120520936613

Location

United States

Related Subject Headings

  • 3901 Curriculum and pedagogy
 

Citation

APA
Chicago
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MLA
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Mink, R., Herman, B. E., Carraccio, C., Aye, T., Baffa, J. M., Chess, P. R., … Schwartz, A. (2020). Agreement of Program Directors With Clinical Competency Committees for Fellow Entrustment. J Med Educ Curric Dev, 7, 2382120520936613. https://doi.org/10.1177/2382120520936613
Mink, Richard, Bruce E. Herman, Carol Carraccio, Tandy Aye, Jeanne M. Baffa, Patricia R. Chess, Jill J. Fussell, et al. “Agreement of Program Directors With Clinical Competency Committees for Fellow Entrustment.J Med Educ Curric Dev 7 (2020): 2382120520936613. https://doi.org/10.1177/2382120520936613.
Mink R, Herman BE, Carraccio C, Aye T, Baffa JM, Chess PR, et al. Agreement of Program Directors With Clinical Competency Committees for Fellow Entrustment. J Med Educ Curric Dev. 2020;7:2382120520936613.
Mink, Richard, et al. “Agreement of Program Directors With Clinical Competency Committees for Fellow Entrustment.J Med Educ Curric Dev, vol. 7, 2020, p. 2382120520936613. Pubmed, doi:10.1177/2382120520936613.
Mink R, Herman BE, Carraccio C, Aye T, Baffa JM, Chess PR, Fussell JJ, Sauer CG, Stafford DEJ, Weiss P, Curran ML, Dammann CEL, High PC, Hsu D, Kesselheim JC, Mahan JD, McGann KA, Myers AL, Pitts S, Turner DA, Schwartz A. Agreement of Program Directors With Clinical Competency Committees for Fellow Entrustment. J Med Educ Curric Dev. 2020;7:2382120520936613.

Published In

J Med Educ Curric Dev

DOI

ISSN

2382-1205

Publication Date

2020

Volume

7

Start / End Page

2382120520936613

Location

United States

Related Subject Headings

  • 3901 Curriculum and pedagogy