Dataset Information

Validity and Feasibility of the Minicard Direct Observation Tool in 1 Training Program.

ABSTRACT:

Background

Availability of reliable, valid, and feasible workplace-based assessment (WBA) tools is important to allow faculty to make important and complex judgments about resident competence. The Minicard is a WBA direct observation tool designed to provide formative feedback while supporting critical competency decisions.

Objective

The purpose of this study was to collect validity and feasibility evidence for use of the Minicard for formative assessment of internal medicine residents.

Methods

We conducted a retrospective cohort analysis of Minicard observations from 2005-2011 in 1 institution to obtain validity evidence, including content (settings, observation rates, independent raters); response process (rating distributions across the scale and ratings by month in the program); consequences (qualitative assessment of action plans); and feasibility (time to collect observations).

Results

Eighty faculty observers recorded 3715 observations of 73 residents in the inpatient ward (43%), clinic (39%), intensive care (15%), and emergency department (3%) settings. Internal medicine residents averaged 28 (SD=8.4) observations per year from 9 (SD=4.1) independent observers. Minicards had an average of 5 (SD=5.1) discrete recorded observations per card. Rating distributions covered the entire rating scale, and increased significantly over the time in training. Half of the observations included action plans with action-oriented feedback, 11% had observational feedback, 9% had minimal feedback, and 30% had no recorded plan. Observations averaged 15.6 (SD=9.5) minutes.

Conclusions

Validity evidence for the Minicard direct observation tool demonstrates its ability to facilitate identification of "struggling" residents and provide feedback, supporting its use for the formative assessment of internal medicine residents.

SUBMITTER: Donato AA

PROVIDER: S-EPMC4512794 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature

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Publications

Validity and Feasibility of the Minicard Direct Observation Tool in 1 Training Program.

Donato Anthony A AA Park Yoon Soo YS George David L DL Schwartz Alan A Yudkowsky Rachel R

Journal of graduate medical education 20150601 2

<h4>Background</h4>Availability of reliable, valid, and feasible workplace-based assessment (WBA) tools is important to allow faculty to make important and complex judgments about resident competence. The Minicard is a WBA direct observation tool designed to provide formative feedback while supporting critical competency decisions.<h4>Objective</h4>The purpose of this study was to collect validity and feasibility evidence for use of the Minicard for formative assessment of internal medicine resi ...[more]

PMID: 26221439

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Project description:BackgroundA key component of competency-based medical education is workplace-based assessment, which includes observation (direct or indirect) of residents. Direct observation has been emphasized as an ideal form of assessment yet challenges have been identified that may limit its adoption. At present, it remains unclear how often direct and indirect observation are being used within the clinical setting. The objective of this study was to describe patterns of observation in an emergency medicine competency-based program 2 years postimplementation.MethodsEmergency medicine residents (n = 19) recorded the type of observation they received (direct or indirect) following workplace-based entrustable professional activity (EPA) assessments from December 15, 2019, to April 30, 2020. Assessment forms were reviewed and analyzed to describe patters of observation.ResultsAssessments were collected on all 19 eligible residents (100% participation). A total of 1,070 EPA assessments were completed during the study period, of which 798 (74.6%) had the type of observation recorded. Of these recorded observations, 546 (68.4%) were directly observed and 252 (31.6%) were indirectly observed. The length of written comments contained within assessments following direct and indirect observation did not differ significantly. There was no significant association between resident gender and observation type or resident stage of training and observation type. Certain EPA assessments showed a clear preference toward either direct or indirect observation.ConclusionsTo the best of our knowledge, this study is the first to report patterns of observation in a competency-based residency program. The results suggest that direct observation can be quickly adopted as the primary means of workplace-based assessment. Indirect observation comprised a sizeable minority of observations and may be an underrecognized contributor to workplace-based assessment. The preference toward either direct or indirect observation for certain EPA assessments suggests that the entrustable professional activity itself may influence the type of observation.

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Dataset Information

Validity and Feasibility of the Minicard Direct Observation Tool in 1 Training Program.

Background

Objective

Methods

Results

Conclusions

Publications

Validity and Feasibility of the Minicard Direct Observation Tool in 1 Training Program.

Similar Datasets

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