Background The Accreditation Council of Graduate Medical Education requires training programs to objectively measure quality improvement for physicians-in-training. Monitoring quality indicators of performance is a novel approach to meet this requirement. The degree to which this technique correlates with traditional evaluations such as standardized testing or attending evaluations has not been established.
Objective To determine whether traditional measures of resident performance correlated with objective measures of performance in a pediatric continuity clinic.
Methods Resident performance was measured using a select group of quality indicators obtained by blinded chart abstraction from patients seen in the pediatric resident continuity clinic. The performance measures included assessment of eye alignment, car seat counseling, smoke exposure screening, smoking cessation counseling for parents, and immunization status. The traditional measures of resident performance that were obtained included match list ranking, US Medical Licensing Examination (USMLE) scores, and attending evaluations from the continuity clinic and general inpatient wards. Performance measures were compared using Pearson product moment correlation coefficients. Subjects included 80 residents over a 4-year period. Correlations between 0.4 and 0.7 were considered moderate.
Results USMLE Part 3 scores showed moderate correlation with performance on eye alignment (0.49) but not with the other indicators of performance. Traditional measures, including position on the rank list and attending evaluations, did not correlate well with the objective performance measures.
Conclusions There is generally poor correlation between traditional resident performance measures and objective performance measures in this pediatric training program.
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