The American Journal of Surgery
Volume 195, Issue 1 , Pages 16-19 , January 2008

Patient Assessment and Management Examination: lack of correlation between faculty assessment and resident self-assessment

Presented at Annual Meeting of the Association for Surgical Education, Washington, DC, April 11–14, 2007

  • Joseph R. Schneider, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
    • Vascular and Interventional Program of Central DuPage Hospital, Winfield, IL, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-630-933-4487; fax: +1-630-933-2009.
    • ,
  • Michael J. Verta Jr, M.D.

      Affiliations

    • Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
    • ,
  • Elizabeth R. Ryan, Ed.D.

      Affiliations

    • Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
    • ,
  • Julia F. Corcoran, M.D.

      Affiliations

    • Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
    • ,
  • Debra A. DaRosa, Ph.D.

      Affiliations

    • Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

Received 18 April 2007 ,Revised 10 August 2007

References 

  1. Anonymous. ABS In-Training Examination (ABSITE). Available at: http://home.absurgery.org/default.jsp?certabsite. Accessed February 13, 2007.
  2. Anastakis DJ, Cohen R, Reznick RK. The structured oral examination as a method for assessing surgical residents. Am J Surg. 1991;162:67–70
  3. Sidhu RS, McIlroy JH, Regehr G. Using a comprehensive examination to assess multiple competencies in surgical residents: does the oral examination still have a role?. J Am Coll Surg. 2005;201:754–758
  4. MacRae HM, Cohen R, Regehr G, et al. A new assessment tool: the patient assessment and management examination. Surgery. 1997;122:335–344
  5. Williams RG, Klamen DA, McGaghie WC. Cognitive, social and environmental sources of bias in clinical performance ratings. Teach Learning Med. 2003;15:270–292
  6. Bland JM, Altman DG. Cronbach’s alpha. BMJ. 1997;314:572
  7. MacDonald J, Williams RG, Rogers DA. Self-assessment in simulation-based surgical skills training. Am J Surg. 2003;185:319–322
  8. Ward M, Gruppen L, Regehr G. Measuring self-assessment: current state of the art. Adv Health Sci Educ Theory Pract. 2002;7:63–80
  9. Eva KW, Regehr G. Self-assessment in the health professions: a reformulation and research agenda. Acad Med. 2005;80:S46–S54
  10. Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessments. J Pers Soc Psychol. 1999;77:1121–1134
  11. Hodges B, Regehr G, Martin D. Difficulties in recognizing one’s own incompetence: novice physicians who are unskilled and unaware of it. Acad Med. 2001;76:S87–S89
  12. Eva KW, Cunnington JP, Reiter HI, et al. How can I know what I don’t know? (Poor self assessment in a well-defined domain). Adv Health Sci Educ Theory Pract. 2004;9:211–224
  13. Claridge JA, Calland JF, Chandrasekhara V, et al. Comparing resident measurements to attending surgeon self-perceptions of surgical educators. Am J Surg. 2003;185:323–327
  14. Davis DA, Mazmanian PE, Fordis M, et al. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094–1102
  15. Duffy FD, Holmboe ES. Self-assessment in lifelong learning and improving performance in practice: physician know thyself. JAMA. 2006;296:1137–1139
  16. Mattheos N, Nattestad A, Falk-Nilsson E, Attstrom R. The interactive examination: assessing students’ self-assessment ability. Med Educ. 2004;38:378–389
  17. Kozol R, Giles M, Voytovich A. The value of videotape in mock oral board examinations. Curr Surg. 2004;61:511–514

PII: S0002-9610(07)00841-0

doi: 10.1016/j.amjsurg.2007.08.050

The American Journal of Surgery
Volume 195, Issue 1 , Pages 16-19 , January 2008

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