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I am the #cbme moderator for the 9 on-demand featured abstracts for #amee2020 - I will be giving some additional reflections on them here 1/X
First up!
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Some faculty giving entrustment ratings in the moment used past experience working with the trainee to influence their rating. Is this what we want?
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Retrospective vs prospective entrustment decision-making is a very important discussion. Based on what we have seen on the past, what do we trust someone to do in a future as yet not fully known context?
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Next up!
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Next up!
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What do you do when @Royal_College has a certain number of observations for EPAs that are uncommon?
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Use simulation!
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Bottom line from the authors
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This is one of my favorite paper figures ever. With #cbme, the needs of patients come first. Curriculum and assessment stem from that. What does this mean for assessment? I think it means that assessment needs to consider patient care.
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One way we can do this in training is with resident-sensitive quality measures, which consider care measures that are important to care of patients and also likely attributable to residents.
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. @Midwest_MedPeds found that our process for developing RSQMs in pediatric emergency medicine works for general inpatient internal medicine but primary diagnoses vs comorbidities may add a layer of complexity to RSQMs for adult patients
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This last next step is so key - we need to dive headlong into linking performance assessment with patient outcomes/care. This is the holy grail of #cbme. @Midwest_MedPeds - we will be cheering you when you receive the @karolinskainst prize for achieving this!
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Next up!
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Narrative assessment data is useful but hard to get your hands around. How do you overcome this?
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Can machine learning help?
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Yes, it can! This is such important work given the continually increasing discussions around the value and reliability of narrative assessment data.
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Test out their system for yourself at this link!
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Next up!
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There are several advantages and considerations for app-based EPA assessment...
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...but not all faculty understanding EPA scales is something we still are struggling with
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Next up!
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My work has found that peds residents are not always ready for unsupervised practice at graduation. Is this true for undergrads and the @AAMCtoday Core EPAs as well?
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WBA assessment is hard to come by. Implementing EPAs are not the magical fix to this major assessment issue we are facing
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Take Home Points
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Last one!
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This is so incredibly provocative! Supervisors in this study developed shadow assessment data systems presumably with their "real" assessment data about trainees that trainees were not privy to
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Might you have something like this in your system?
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