Do Obgyn Residents and the CCC Reach the Same Competency Conclusions? A Comparison of Resident Versus Faculty Milestone Assessments

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Abstract

PURPOSE:

Our objective was to compare resident self-assessments to CCC evaluations within the milestone framework.

BACKGROUND:

Resident progress across 28 milestones are evaluated biannually by a clinical competency committee (CCC). We sought to determine the correlation in milestone assessment between the CCC and individual resident's self-assessment.

METHODS:

Retrospective study that compares resident self-assessment of milestone competency to that of the CCC. Milestone assessment differences were calculated by subtracting the resident score from the faculty score. A negative value indicates that the CCC evaluated residents at a lower level than the resident's self-assessment. Kruskal Wallis test was used to identify differences between self-evaluations and corresponding CCC evaluations for each competency. Dunn's post hoc test was used to determine specific differences. Major disparities were defined as a mean disparity >0.5 in either direction. The association between assessment disparity and PGY year was analyzed using non parametric χ2.

RESULTS:

15 residents participated. Overall, 32% (129/409) of the time residents and CCC were in agreement. The global median assessment difference was significant [−0.20 (−0.5 to 0.5), P<.003] suggesting residents evaluated themselves at a higher level than the CCC did. 19% evaluations had a mean overall assessment difference >−0.5 (residents assessed at a higher level than CCC), whereas 8% had a difference >0.5. Positive self-evaluations were more common for medical knowledge and patient care. There was no association between PGY year and CCC agreement.

DISCUSSION:

Ob/Gyn residents within our program trended toward perceiving a greater level of patient care and medical knowledge and underestimated their competency in PBLI, SBP and ICS. Understanding these differences will help PDs at their biannual progress meetings with residents.

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