Faculty Development to Improve Mini-CEX Ratings
Study Details
Study Description
Brief Summary
We will conduct a faculty development workshop with intent to improve interrater reliability and rater accuracy. Outcomes will include interrater reliability, accuracy, and workshop evaluations.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Hypothesis: An intervention for training faculty preceptors on the use of the mini-CEX will improve inter-rater reliability and classification accuracy.
Methods. We will develop a faculty development workshop aimed at improving the inter-rater reliability and accuracy of mini-CEX scores. To evaluate the workshop we will conduct a randomized, controlled trial. Preceptors will be randomly assigned to immediate or delayed workshop. The primary outcome will be inter-rater reliability of mini-CEX scores as preceptors rate videotaped resident-patient encounters before and four weeks after the workshop. We will also evaluate the accuracy of performance classifications. We will also collect mini-CEX ratings of actual resident-patient interactions one year preceding and one year following the workshop, and calculate interrater reliability.
Statistical methods. Inter-rater reliability will be determined using the intraclass correlation coefficient (ICC) and corresponding confidence intervals. ICC will be used to determine chance-corrected agreement (accuracy). Discrimination (differences in mean scores among scripted levels of performance) will also be evaluated as a measure of accuracy.
Scientific basis. Clinical performance assessments constitute a key element of resident education. The effect of rater training on the inter-rater reliability of mini-CEX scores is unknown. This workshop will utilize methods (rater error and field of reference training) shown to be effective in improving rater accuracy in non-medical fields.
Inclusion criteria. All internal medicine residency continuity clinic preceptors are eligible.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Workshop Rater training workshop: rater error training, performance dimension training, behavioral observation training, and frame of reference training using lecture, video, and facilitated discussion |
Behavioral: Rater training workshop
Rater training workshop: rater error training, performance dimension training, behavioral observation training, and frame of reference training using lecture, video, and facilitated discussion
|
| No Intervention: Delayed workshop No specific intervention until after follow-up assessment, then receives same workshop. |
Outcome Measures
Primary Outcome Measures
- Interrater reliability (videotaped resident-patient encounters) [April-June 2006]
Secondary Outcome Measures
- Rater accuracy (agreement with scripted levels of performance on videotaped resident-patient encounters): percent agreement, chance-corrected agreement, mean scores [April-June 2006]
- Interrater reliability (actual resident-patient encounters) [March 2005 (historical) to June 2007]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Internal medicine residency continuity clinic preceptor at Mayo Clinic Rochester Minnesota
Exclusion Criteria:
- None
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Mayo Clinic | Rochester | Minnesota | United States | 55905 |
Sponsors and Collaborators
- Mayo Clinic
Investigators
- Principal Investigator: David A Cook, MD, MHPE, Mayo Clinic
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 06-002730