Evaluating professionalism and interpersonal and communication skills: implementing a 360-degree evaluation instrument in an anesthesiology residency program.
Evaluating professionalism and interpersonal and communication skills: implementing a 360-degree evaluation instrument in an anesthesiology residency program.
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DOI：
10.4300/jgme-d-09-00014.1
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发表时间：
2009-12-01
影响因子：
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通讯作者：
Patel, Rita M
中科院分区：
文献类型：
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作者：
Meng, Li;Metro, David G;Patel, Rita M
目的：实施360度住院医师评价仪器麻醉后监护室（PACU）轮换，并确定可靠性，可行性和有效性，这种工具，用于评估居民的专业精神和人际交往和沟通技能。方法：13个领域的评价被选中，以评估专业精神和人际交往和沟通技能的居民在他们的PACU轮换。每个领域都采用9点Likert量表（1，不满意的表现，9，出色的表现）进行测量。PACU轮换完成后，将评分表分发给评分员。评分者包括PACU护士、秘书人员、护士助理和医疗技术人员。居民了解360度评估并自愿参与。然后将多名评分员的评价与传统教师的评价进行比较。组内相关系数进行计算，以衡量每个类别的评分员的Pearson相关系数的可靠性。结果：四百二十九个评级表在研究期间返回。对15名居民进行了评估。应答率为88%。居民在可用性方面排名最高，在管理技能方面排名最低。所有领域的平均评分都很高（8.23）。PACU护士对所有项目的平均评分（8.34）高于秘书人员（7.99，P > 0.08）。排名最高的居民在所有评分者中排名较高，而排名最低的居民在大多数评分者中排名较低。组内相关系数分别为0.8719、0.7860、0.8268和0.8575。结论：这种住院医师评估工具可能对PACU轮换有用。它似乎与传统的教师评级，是可行的使用，并提供形成反馈居民对他们的专业精神和人际交往和沟通技巧。
OBJECTIVES: To implement a 360-degree resident evaluation instrument on the postanesthesia care unit (PACU) rotation and to determine the reliability, feasibility, and validity of this tool for assessing residents' professionalism and interpersonal and communication skills.METHODS: Thirteen areas of evaluation were selected to assess the professionalism and interpersonal and communication skills of residents during their PACU rotation. Each area was measured on a 9-point Likert scale (1, unsatisfactory performance, to 9, outstanding performance). Rating forms were distributed to raters after the completion of the PACU rotation. Raters included PACU nurses, secretarial staff, nurse aides, and medical technicians. Residents were aware of the 360-degree assessment and participated voluntarily. The multiple raters' evaluations were then compared with those of the traditional faculty. Intraclass correlation coefficients were calculated to measure the reliability of ratings within each category of raters by the Pearson correlation coefficient.RESULTS: Four hundred twenty-nine rating forms were returned during the study period. Fifteen residents were evaluated. The response rate was 88%. Residents were ranked highest on availability and lowest on management skill. The average rating across all areas was high (8.23). The average mean rating across all items from PACU nurses was higher (8.34) than from secretarial staff (7.99, P > .08). The highest ranked resident ranked high with all raters and the lowest ranked was low with most raters. The intraclass coefficients of correlations were 0.8719, 0.7860, 0.8268, and 0.8575.CONCLUSIONS: This type of resident assessment tool may be useful for PACU rotations. It appears to correlate with traditional faculty ratings, is feasible to use, and provides formative feedback to residents regarding their professionalism and interpersonal and communication skills.