Optimizing physician skill development for medical students: The four-part assessment

Justin J J Watson; Phillip M Kemp Bohan; Katrina Ramsey; John D Yonge; Christopher R Connelly; Richard J Mullins; Jennifer M Watters; Martin A Schreiber; Laszlo N Kiraly

doi:10.1016/j.amjsurg.2017.03.026

Optimizing physician skill development for medical students: The four-part assessment

Am J Surg. 2017 May;213(5):906-909. doi: 10.1016/j.amjsurg.2017.03.026. Epub 2017 Apr 5.

Authors

Justin J J Watson¹, Phillip M Kemp Bohan², Katrina Ramsey³, John D Yonge⁴, Christopher R Connelly⁵, Richard J Mullins⁶, Jennifer M Watters⁷, Martin A Schreiber⁸, Laszlo N Kiraly⁹

Affiliations

¹ Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: watsonju@ohsu.edu.
² Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: kempboha@ohsu.edu.
³ Oregon Health & Science University, School of Public Health & Preventive Medicine, USA. Electronic address: ramseyk@ohsu.edu.
⁴ Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: yonge@ohsu.edu.
⁵ Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: connelch@ohsu.edu.
⁶ Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: mullinsr@ohsu.edu.
⁷ Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: wattersj@ohsu.edu.
⁸ Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: schreibm@ohsu.edu.
⁹ Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: kiralyl@ohsu.edu.

PMID: 28396034
DOI: 10.1016/j.amjsurg.2017.03.026

Abstract

Background: Medical student performance has been poorly correlated with residency performance and warrants further investigation. We propose a novel surgical assessment tool to determine correlations with clinical aptitude.

Methods: Retrospective review of medical student assessments from 2013 to 2015. Faculty rating of student performance was evaluated by: 1) case presentation, 2) problem definition, 3) question response and 4) use of literature and correlated to final exam assessment. A Likert scale interrater reliability was evaluated.

Results: Sixty student presentations were scored (4.8 assessors/presentation). A student's case presentation, problem definition, and question response was correlated with performance (r = 0.49 to 0.61, p ≤ 0.003). Moderate correlations for either question response or use of literature was demonstrated (0.3 and 0.26, p < 0.05).

Conclusion: Our four-part assessment tool identified correlations with course and examination grades for medical students. As surgical education evolves, validated performance and reliable testing measures are required.

Publication types

Evaluation Study

MeSH terms

Aptitude Tests*
Aptitude*
Clinical Competence
Education, Medical, Undergraduate*
Educational Measurement / methods*
General Surgery / education*
Humans
Oregon
Retrospective Studies
Single-Blind Method
Students, Medical / psychology*