Abstract

Introduction

In postgraduate medical education, group decision-making has emerged as an essential tool to evaluate the clinical progress of residents. Clinical competency committees (CCCs) have been set up to ensure informed decision-making and provide feedback regarding performance of residents. Despite this important task, it remains unclear how CCCs actually function in practice and how their performance should be evaluated.

Methods

In the prototyping phase of a design-based approach, a CCC meeting was developed, using three theoretical design principles: (1) data from multiple assessment tools and multiple perspectives, (2) a shared mental model and (3) structured discussions. The meetings were held in a university children’s hospital and evaluated using observations, interviews with CCC members and an open-ended questionnaire among residents.

Results

The structured discussions during the meetings provided a broad outline of resident performance, including identification of problematic and excellent residents. A shared mental model about the assessment criteria had developed over time. Residents were not always satisfied with the feedback they received after the meeting. Feedback that had been provided to a resident after the first CCC meeting was not addressed in the second meeting.

Discussion

The principles that were used to design the CCC meeting were feasible in practice. Structured discussions, based on data from multiple assessment tools and multiple perspectives, provided a broad outline of resident performance. Residency programs that wish to implement CCCs can build on our design principles and adjust the prototype to their particular context. When running a CCC, it is important to consider feedback that has been provided to a resident after the previous meeting and to evaluate whether it has improved the resident’s performance.

Details

Title
Design and evaluation of a clinical competency committee
Author
Duitsman, Marrigje E. 1 ; Fluit, Cornelia R. M. G. 1 ; van Alfen-van der Velden, Janiëlle A. E. M. 1 ; de Visser, Marieke 1 ; ten Kate-Booij, Marianne 2 ; Dolmans, Diana H. J. M. 3 ; Jaarsma, Debbie A. D. C. 4 ; de Graaf, Jacqueline 1 

 Radboud University Medical Centre, Nijmegen, The Netherlands (GRID:grid.10417.33) (ISNI:0000 0004 0444 9382) 
 Erasmus Medical Centre, Rotterdam, The Netherlands (GRID:grid.5645.2) (ISNI:000000040459992X) 
 Maastricht University, Maastricht, The Netherlands (GRID:grid.5012.6) (ISNI:0000 0001 0481 6099) 
 University Medical Centre Groningen, Groningen, The Netherlands (GRID:grid.4494.d) (ISNI:0000 0000 9558 4598) 
Pages
1-8
Publication year
2019
Publication date
Feb 2019
Publisher
Ubiquity Press
ISSN
22122761
e-ISSN
2212277X
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2670510834
Copyright
© The Author(s) 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.