The role of previously undocumented data in the assessment of medical trainees in clinical competency committees

Perspectives on Medical Education

article

Tam, Jennifer¹  Wadhwa, Anupma³  Martimianakis, Maria Athina⁴  Fernando, Oshan⁶  Regehr, Glenn¹ 

[1] Centre for Health Education Scholarship, Faculty of Medicine, University of British Columbia;Division of Infectious Diseases, Department of Pediatrics, University of British Columbia;Division of Infectious Diseases, Department of Pediatrics, University of Toronto;Wilson Centre for Research in Education, University of Toronto;Department of Paediatrics, Faculty of Medicine, University of Toronto;Department of Paediatrics, The Hospital for Sick Children;Department of Surgery, University of British Columbia

关键词: Clinical competence committees;    Undocumented data;    Data management;    Group decision-making;    Competency-based medical education;   

DOI  :  10.1007/s40037-020-00624-x

学科分类：医学（综合）

来源: Bohn Stafleu van Loghum B.V.

【 摘 要 】

Introduction The clinical competency committee (CCC) comprises a group of clinical faculty tasked with assessing a medical trainee’s progress from multiple data sources. The use of previously undocumented data, or PUD, during CCC deliberations remains controversial. This study explored the use of previously undocumented data in conjunction with documented data in creating a meaningful assessment in a CCC. Methods An instrumental case study of a CCC that uses previously undocumented data was conducted. A single CCC meeting was observed, followed by semi-structured individual interviews with all CCC members (n = 7). Meeting and interview transcripts were analyzed iteratively. Results Documented data were perceived as limited by inaccurate or superficial data, but sometimes served as a starting point for invoking previously undocumented data. Previously undocumented data were introduced as summary impressions, contextualizing factors, personal anecdotes and, rarely, hearsay. The purpose was to raise a potential issue for discussion, enhance and elaborate an impression, or counter an impression. Various mechanisms allowed for the responsible use of previously undocumented data: embedding these data within a structured format; sharing relevant information without commenting beyond one’s scope of experience; clarifying allowable disclosure of personal contextual factors with the trainee pre-meeting; excluding previously undocumented data not widely agreed upon in decision-making; and expecting these data to have been provided as direct feedback to trainees pre-meeting. Discussion Previously undocumented data appear to play a vital part of the group conversation in a CCC to create meaningful, developmentally focused trainee assessments that cannot be achieved by documented data alone. Consideration should be given to ensuring the thoughtful incorporation of previously undocumented data as an essential part of the CCC assessment process.

【 授权许可】

CC BY