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Assessing Resident Competency in an Outpatient Setting

机译：在门诊环境中评估居民能力

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BACKGROUND AND OBJECTIVES: The Grand Rapids Family Practice Residency Program has been using an ongoing "spot check" method to evaluate global competencies of family medicine residents in theambulatory setting. This paper describes and assesses this evaluation method. METHODS: During eachclinic session, preceptors evaluate residents on core ambulatory clinical skills. Evaluations emphasizedirect observation of behaviors. Summative feedback is provided on a quarterly basis. Both residentsand faculty were surveyed regarding impressions of this system. RESULTS: Of the residents surveyed,88% felt this feedback regarding performance was useful, and 75% were comfortable with the process.Sixty percent felt the assessment was an adequate representation of outpatient skills. Eighty-eight percentof residents wanted to continue the evaluation process. After institution of the program, preceptingfaculty reported an improvement in their assessment of overall resident performance in an outpatientsetting. Faculty also self-reported an increase in direct observation of resident encounters. CONCLUSIONS:Assessing global competencies in an outpatient setting is a way for family medicine programs to evaluateresidents, provide feedback on an ongoing basis, and monitor growth in key areas. This method waswell accepted at our program and has been shown to change self-reported preceptor behaviors regardingdirect observation of residents.
机译：背景和目的：大急流城家庭实践居住计划一直在使用一种正在进行的“现场检查”方法来评估走私环境中家庭医学居民的全球能力。本文介绍并评估了这种评估方法。方法：在每次门诊期间，导师会评估住院病人的核心门诊临床技能。评价强调对行为的直接观察。季度提供汇总反馈。居民和教职员工都接受了有关该系统印象的调查。结果：在接受调查的居民中，有88％的人认为对绩效的反馈是有用的，而有75％的人对此过程感到满意。60％的人认为该评估充分反映了门诊技能。 88％的居民希望继续评估过程。实施该计划后，教职员工报告说他们对门诊患者整体住院表现的评估有所改善。教师还报告说，直接观察居民的情况有所增加。结论：在门诊评估全球能力是家庭医学计划评估居民，持续提供反馈并监测关键领域增长的一种方式。这种方法在我们的程序中已广为接受，并已证明可以改变有关居民直接观察的自我报告的感受器行为。

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