D Blumenthal1, M Gokhale, E G Campbell, J S Weissman. 1. Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St, 9th Floor, Suite 901, Boston, MA 02114, USA. dblumenthal@partners.org
Abstract
CONTEXT: Medical educators are seeking improved measures to assess the clinical competency of residents as they complete their graduate medical education. OBJECTIVE: To assess residents' perceptions of their preparedness to provide common clinical services during their last year of graduate medical education. DESIGN, SETTING, AND PARTICIPANTS: A 1998 national survey of residents completing their training in 8 specialties (internal medicine, pediatrics, family practice, obstetrics/gynecology, general surgery, orthopedic surgery, psychiatry, and anesthesiology) at academic health centers in the United States. A total of 2626 residents responded (response rate, 65%). MAIN OUTCOME MEASURES: Residents' reports of their preparedness to perform clinical and nonclinical tasks relevant to their specialties. RESULTS: Residents in all specialties rated themselves as prepared to manage most of the common conditions they would encounter in their clinical career. However, more than 10% of residents in each specialty reported that they felt unprepared to undertake 1 or more tasks relevant to their disciplines, such as caring for patients with human immunodeficiency virus/acquired immunodeficiency syndrome or substance abuse (family practice) or nursing home patients (internal medicine); performance of spinal surgery (orthopedic surgery) or abdominal aortic aneurysm repair (general surgery); and management of chronic pain (anesthesiology). CONCLUSIONS: Overall, residents in their last year of training at academic health centers rate their clinical preparedness as high. However, opportunities for improvement exist in preparing residents for clinical practice.
CONTEXT: Medical educators are seeking improved measures to assess the clinical competency of residents as they complete their graduate medical education. OBJECTIVE: To assess residents' perceptions of their preparedness to provide common clinical services during their last year of graduate medical education. DESIGN, SETTING, AND PARTICIPANTS: A 1998 national survey of residents completing their training in 8 specialties (internal medicine, pediatrics, family practice, obstetrics/gynecology, general surgery, orthopedic surgery, psychiatry, and anesthesiology) at academic health centers in the United States. A total of 2626 residents responded (response rate, 65%). MAIN OUTCOME MEASURES: Residents' reports of their preparedness to perform clinical and nonclinical tasks relevant to their specialties. RESULTS: Residents in all specialties rated themselves as prepared to manage most of the common conditions they would encounter in their clinical career. However, more than 10% of residents in each specialty reported that they felt unprepared to undertake 1 or more tasks relevant to their disciplines, such as caring for patients with human immunodeficiency virus/acquired immunodeficiency syndrome or substance abuse (family practice) or nursing home patients (internal medicine); performance of spinal surgery (orthopedic surgery) or abdominal aortic aneurysm repair (general surgery); and management of chronic pain (anesthesiology). CONCLUSIONS: Overall, residents in their last year of training at academic health centers rate their clinical preparedness as high. However, opportunities for improvement exist in preparing residents for clinical practice.
Authors: Brent C Williams; Gregg Warshaw; Anne Rebecca Fabiny; Nancy Lundebjerg Mpa; Annette Medina-Walpole; Karen Sauvigne; Joanne G Schwartzberg; Rosanne M Leipzig Journal: J Grad Med Educ Date: 2010-09
Authors: Samantha Smith; Eileen L Seeholzer; Heidi Gullett; Brigid Jackson; Elizabeth Antognoli; Susan A Krejci; Susan A Flocke Journal: J Grad Med Educ Date: 2015-09
Authors: Eric S Holmboe; Judith L Bowen; Michael Green; Jessica Gregg; Lorenzo DiFrancesco; Eileen Reynolds; Patrick Alguire; David Battinelli; Catherine Lucey; Daniel Duffy Journal: J Gen Intern Med Date: 2005-12 Impact factor: 5.128
Authors: Judith L Bowen; Stephen M Salerno; John K Chamberlain; Elizabeth Eckstrom; Helen L Chen; Suzanne Brandenburg Journal: J Gen Intern Med Date: 2005-12 Impact factor: 5.128