| Quantitative validation of a general competency composite assessment evaluation. | |
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MedLine Citation:
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PMID: 15289197 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The authors sought to modify and validate a composite assessment evaluation process that assesses resident acquisition of the Accreditation Council for Graduate Medical Education (ACGME) general competencies (GCs). METHODS:This study critically analyzed the evaluation process used in a multicenter study (150 emergency medicine resident evaluations) to determine whether the procedure was psychometrically valid. For each GC, principal component analysis (PCA) was used to determine whether certain evaluation items could be eliminated, as well as to determine the magnitude of variability explained by up to three linear combinations or "principal components." The factor proportions (factor loadings) of various eigenvectors were measured to determine the degree of variability (determined by the square of the factor proportion) within a data or item set. The factor proportions essentially measure the length of the eigenvector as determined from a correlation matrix. RESULTS: The first three principal components are reported as factor proportion sum (% of total variability) as follows: patient care 0.91 (83%), medical knowledge 0.87 (76%), practice-based learning and improvement 0.90 (81%), interpersonal and communication skills 0.84 (71%), professionalism 0.74 (55%), and systems-based practice 0.80 (64%). PCA showed that evaluating certain traditional categories such as medical knowledge seemed to capture a single element, whereas professionalism appeared to measure a more complex, multidimensional phenomenon. CONCLUSIONS: By using a structured development process, the authors were able to create valid evaluation items for determining resident acquisition of the ACGME GCs. |
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Authors:
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Earl J Reisdorff; Dale J Carlson; Mat Reeves; Gregory Walker; Oliver W Hayes; Brian Reynolds |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Multicenter Study; Validation Studies |
Journal Detail:
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Title: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Volume: 11 ISSN: 1069-6563 ISO Abbreviation: Acad Emerg Med Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-08-03 Completed Date: 2004-11-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9418450 Medline TA: Acad Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 881-4 Citation Subset: IM |
Affiliation:
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Michigan State University Emergency Medicine Residency Lansing, Lansing, MI 48910, USA. reisdoe@irmcmail.irmc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence* Cross-Sectional Studies Education, Medical, Graduate / methods* Educational Measurement / methods* Emergency Medicine / education* Humans Internship and Residency / methods* Principal Component Analysis Program Evaluation / standards* Psychometrics United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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