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首页> 外文期刊>Archives of surgery. >Resident self-other assessor agreement: influence of assessor, competency, and performance level.
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Resident self-other assessor agreement: influence of assessor, competency, and performance level.

机译：居民自我评估者协议：评估者，能力和绩效水平的影响。

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OBJECTIVES: To review the literature on self-assessment in the context of resident performance and to determine the correlation between self-assessment across competencies in high- and low-performing residents and assessments performed by raters from a variety of professional roles (peers, nurses, and faculty). DESIGN: Retrospective analysis of prospectively collected anonymous self-assessment and multiprofessional (360) performance assessments by competency and overall. SETTING: University-based academic general surgical program. PARTICIPANTS: Sixty-two residents rotating in general surgery. MAIN OUTCOME MEASURES: Mean difference for each self-assessment dyad (self-peer, self-nurse, and self-attending physician) by resident performance quartile, adjusted for measurement error, correlation coefficients, and summed differences across all competencies. RESULTS: Irrespective of self-other dyad, residents asked to rate their global performance overestimated their skills. Residents in the upper quartile underestimated their specific skills while those in the lowest-performing quartile overestimated their abilities when compared with faculty, peers, and especially nurse raters. Moreover, overestimation was greatest in competencies related to interpersonal skills, communication, teamwork, and professionalism. CONCLUSIONS: Rater, level of performance, and the competency being assessed all influence the comparison of the resident's self-assessment and those of other raters. Self-assessment of competencies related to behavior may be inaccurate when compared with raters from various professions. Residents in the lowest-performing quartile are least able to identify their weakness. These data have important implications for residents, program directors, and the public and suggest that strategies that help the lowest-performing residents recognize areas in need of improvement are needed.
机译：目的：回顾居民表现背景下的自我评估文献，并确定高绩效和低绩效居民的能力之间的自我评估与评估者从各种专业角色（同行，护士）进行的评估之间的相关性和教职员工）。设计：按能力和总体对预期收集的匿名自我评估和多专业（360）绩效评估进行回顾性分析。地点：基于大学的学术性普通外科程序。参加者：62名居民在进行普通外科手术。主要观察指标：按照住院医师绩效四分位数对每个自我评估双联（自我对等，自我护理和主治医师）的平均差异进行调整，并针对测量误差，相关系数和所有能力的总差异进行调整。结果：不论自我二分之一，居民都要求对自己的整体表现进行评分以高估自己的技能。与教师，同龄人，尤其是护士评估者相比，上四分之一的居民低估了他们的特定技能，而下四分之一的居民则高估了他们的能力。此外，在与人际交往能力，沟通，团队合作和专业精神有关的能力方面，高估是最大的。结论：评估者，绩效水平和所评估的能力都影响居民的自我评估与其他评估者的自我评估的比较。与来自不同专业的评估者相比，与行为相关的能力的自我评估可能不准确。表现最差的四分位数中的居民最无法识别自己的弱点。这些数据对居民，项目负责人和公众具有重要意义，并建议需要帮助绩效最低的居民认识到需要改进的领域的策略。

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