seth d. goldstein, md 1, brenessa lindeman, md 1, jorie colbert-getz, phd 3, trisha arbella 1,...

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Seth D. Goldstein, MD 1 , Brenessa Lindeman, MD 1 , Jorie Colbert-Getz, PhD 3, Trisha Arbella 1 , Robert Dudas, MD 2 , Anne Lidor, MD, MPH 1 , Bethany Sacks, MD, MEd 1 Johns Hopkins Hospital Departments of Surgery 1 and Pediatrics 2

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Page 1: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Seth D. Goldstein, MD1, Brenessa Lindeman, MD1, Jorie Colbert-Getz, PhD3, Trisha Arbella1, Robert Dudas, MD2, Anne Lidor, MD, MPH1,

Bethany Sacks, MD, MEd1

Johns Hopkins Hospital Departments of Surgery1 and Pediatrics2

Johns Hopkins School of Medicine Office of Medical Education Services3

Page 2: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Page 3: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Objective and Subjective Knowledge Correlation

Page 4: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Investigate convergent validity between subjective ratings of surgery student clinical knowledge and scores on the NBME subject examination Inter-rater reliability of faculty and resident

evaluations of global clinical knowledge

Page 5: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

1 2 3 4 5

Unacceptable

Needs Improveme

nt

At Expected Level

Above Expectation

s

Outstanding

Unable to apply preclinical knowledge to understand basic medical problems.

Inconsistent understanding of patient problems. Limited differential diagnosis.

Knows basic differential diagnoses of major/active problems in patients. Understands team’s choice of therapy.

Knows expanded differential diagnoses, including recognition of emergencies. Can discuss therapeutic options.

Knows nuances of differential diagnosis, including disease prevalence and anticipated history & exam findings. Able to independently formulate a management plan. Able to assign prognoses.

Subjective Student Evaluation Scale

Retrospective, cross-sectional study from July 2009 – June 2011

Page 6: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Page 7: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Rating Attendings% (n)

Residents% (n)

1 N/A N/A

2 <1% (4) 1% (6)

3 20% (178) 28% (244)

4 57% (498) 47% (402)

5 22% (193) 24% (211)

0.76 0.81

Page 8: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

ρ2:Attendings <0.01Residents 0.01

Page 9: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Medical Student Ratings by NBME Percentile Group

Quartile

Attending

n (SD)

Resident

n (SD)

Bottom 25th

3.96 (0.45)

3.81 (0.48)

Middle 50th

4.00 (0.35)

3.95 (0.43)

Top 25th

4.08 (0.40)

4.10 (0.49)

Bottom 25th

Middle 50th

Top 25th

Page 10: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

1Pulito AR, Donnelly MB, Plymale M, et al. What do faculty observe of medical students' clinical performance? Teach Learn Med 2006;18:99-104.

Page 11: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

Page 12: Seth D. Goldstein, MD 1, Brenessa Lindeman, MD 1, Jorie Colbert-Getz, PhD 3, Trisha Arbella 1, Robert Dudas, MD 2, Anne Lidor, MD, MPH 1, Bethany Sacks,

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