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Acad Med. 2008 Oct;83(10 Suppl):S89-92. doi: 10.1097/ACM.0b013e318183c8b7.

Point-of-care assessment of medical trainee competence for independent clinical work.

Author information

1
Stan Cassidy Centre for Rehabilitation, 800 Priestman St., Fredericton, NB, E3B 0C7, Canada. tara.kennedy@utoronto.ca

Abstract

BACKGROUND:

Clinical supervisors make frequent assessments of medical trainees' competence so they can provide appropriate opportunities for trainees to experience clinical independence. This study explored context-specific assessments of trainees' competence for independent clinical work.

METHOD:

In Phase One, 88 teaching team members from internal and emergency medicine were observed during clinical activities (216 hours), and 65 participants completed brief interviews. In Phase Two, 36 in-depth interviews were conducted using video vignettes. Data collection and analysis employed grounded theory methodology.

RESULTS:

Supervisors' assessments of trainee trustworthiness for independent clinical work involved consideration of four dimensions: knowledge/skill, discernment of limitations, truthfulness, and conscientiousness. Supervisors' reliance on language cues as a source of trustworthiness data was revealed.

CONCLUSIONS:

This study provides an initial exploration of context-specific competence assessments, which affect both patient safety and education, and provides a novel framework for study of the links between language use and competence.

PMID:
18820510
DOI:
10.1097/ACM.0b013e318183c8b7
[Indexed for MEDLINE]

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