Rules of Engagement: Residents' Perceptions of the In-Training Evaluation Process  

Oleh:

Watling, Christopher J. ; Kenyon, Cynthia F. ; Zibrowski, Elaine M. ; Schulz, Valerie ; Goldszmidt, Mark A.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Academic Medicine (Journal of the Association of American Medical Colleges) vol. 83 no. S10 (Oct. 2008), page S97.

Ketersediaan

Perpustakaan FK Nomor Panggil: A33.K.2008.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background: In-training evaluation reports (ITERs) often fall short of their goals of promoting resident learning and development. Efforts to address this problem through faculty development and assessment-instrument modification have been disappointing. The authors explored residents' experiences and perceptions of the ITER process to gain insight into why the process succeeds or fails. Method: Using a grounded theory approach, semistructured interviews were conducted with 20 residents. Constant comparative analysis for emergent themes was conducted. Results: All residents identified aspects of "engagement" in the ITER process as the dominant influence on the success of ITERs. Both external (evaluator-driven, such as evaluator credibility) and internal (resident-driven, such as self-assessment) influences on engagement were elaborated. When engagement was lacking, residents viewed the ITER process as inauthentic. Conclusions: Engagement is a critical factor to consider when seeking to improve ITER use. Our articulation of external and internal influences on engagement provides a starting point for targeted interventions.

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