期刊名称:Medical Education Scholarship Forum Proceedings
印刷版ISSN:2291-0387
出版年度:2013
卷号:1
语种:English
出版社:Medical Education and Scholarship Centre, Memorial University
摘要:Background/Objectives To improve evaluation methods in assessing the CanMEDS role of Collaborator through multi-source feedback using the Interprofessional Collaborator Assessment Rubric (ICAR). Methods Pilot study - To determine inter-rater reliability of the ICAR. Anaesthesia residents were assessed on daily interactions over a two-week period by attending physicians during normal learning encounters. Inter-rater reliability assessed through Fleiss' Kappa and internal reliability measured through Cronbach�s alpha. On-going Research � 360-degree evaluation of medical residents by physicians, nurses, and allied health professionals to determine inter-rater reliability of ICAR from multiple medical professionals. Twenty residents, four in five various medical teaching unit, will be evaluated after a four week rotation by their attending physician, nurses, and allied health professionals (physiotherapists, occupational therapists, social workers, pharmacists, dieticians, etc). Inter-rater reliability assessed through Fleiss' Kappa and internal reliability measured through Cronbach�s alpha. Results The pilot study offered both quantitative and qualitative data. Quantitatively, the ICAR was found to be internally consistent with a Cronbach's alpha value of 0.87 (> 0.7 is cited as significant). However, the inter-rater reliability was -0.089 where > 0.7 is cited as significant. Qualitatively, comments from evaluating physicians noted that there should be push toward multi-source feedback. Conclusions The pilot study results have allowed our research team to progress to our current, on-going, research. Although the ICAR is a internally reliable tool, it, and resident assessment, needs to tested under appropriate evaluation conditions including incorporating multiple raters (physicians, nurses, and allied health professionals) over extended (non-daily) observation periods.