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

• Published in: The American journal of surgery 2017-05, Vol.213 (5), p.906-909
• Main Authors: Watson, Justin J.J., MD, Kemp Bohan, Phillip M., BA, Ramsey, Katrina, MPH, Yonge, John D., MD, Connelly, Christopher R., MD, Mullins, Richard J., MD, Watters, Jennifer M., MD, Schreiber, Martin A., MD, Kiraly, Laszlo N., MD
• Format: Article
• Language: English
• Subjects: Aptitude; Aptitude Tests; Clinical Competence; Correlation; Education, Medical, Undergraduate; Educational Measurement - methods; General Surgery - education; Humans; Intensive care; Medical examiners; Medical personnel; Medical schools; Medical students; Oregon; Ratings & rankings; Reliability analysis; Retrospective Studies; Single-Blind Method; Skills; Students; Students, Medical - psychology; Surgeons; Surgery; Surgical instruments
• ISSN: 0002-9610; 1879-1883
• 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 2013-2015. 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≤.003). Moderate correlations for either question response or use of literature was demonstrated (0.3 and 0.26, p