Evaluating evaluation: assessment of the American Board of Internal Medicine Resident Evaluation Form.

Abstract:

:The American Board of Internal Medicine suggests use of a standard form to rate residents on nine dimensions (such as clinical judgment and overall clinical competence) on a scale of 1 to 9. The authors examined the psychometric evidence for reliability and validity of 1,039 ratings of 85 residents by 135 attendings in a single internal medicine residency program. Of these ratings, 95.6% were from 6 to 9. Factor analysis revealed that high correlations among the nine dimensions (r ranged from 0.72 to 0.92) resulted from a single global factor accounting for 86% of the variance. The study also examined whether the form reliably distinguishes among residents scoring between 6 and 9. Agreement among attendings rating the same individual was weak (average reliability = 0.64, by the method of James). The rating method fails to discriminate dimensions of clinical care and has low reliability for distinguishing among competent residents.

journal_name

J Gen Intern Med

authors

Thompson WG,Lipkin M Jr,Gilbert DA,Guzzo RA,Roberson L

doi

10.1007/BF02600537

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

214-7

issue

3

eissn

0884-8734

issn

1525-1497

journal_volume

5

pub_type

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