Timing of Emergency Medicine Student Evaluation Does Not Affect Scoring.

TitleTiming of Emergency Medicine Student Evaluation Does Not Affect Scoring.
Publication TypeJournal Article
Year of Publication2015
AuthorsHiller KM, Waterbrook A, Waters K
JournalJ Emerg Med
Date Published2015 Oct 22
ISSN Number0736-4679
Abstract

BACKGROUND: Evaluation of medical students rotating through the emergency department (ED) is an important formative and summative assessment method. Intuitively, delaying evaluation should affect the reliability of this assessment method, however, the effect of evaluation timing on scoring is unknown.

OBJECTIVE: A quality-improvement project evaluating the timing of end-of-shift ED evaluations at the University of Arizona was performed to determine whether delay in evaluation affected the score.

METHODS: End-of-shift ED evaluations completed on behalf of fourth-year medical students from July 2012 to March 2013 were reviewed. Forty-seven students were evaluated 547 times by 46 residents and attendings. Evaluation scores were means of anchored Likert scales (1-5) for the domains of energy/interest, fund of knowledge, judgment/problem-solving ability, clinical skills, personal effectiveness, and systems-based practice. Date of shift, date of evaluation, and score were collected. Linear regression was performed to determine whether timing of the evaluation had an effect on evaluation score.

RESULTS: Data were complete for 477 of 547 evaluations (87.2%). Mean evaluation score was 4.1 (range 2.3-5, standard deviation 0.62). Evaluations took a mean of 8.5 days (median 4 days, range 0-59 days, standard deviation 9.77 days) to complete. Delay in evaluation had no significant effect on score (p = 0.983).

CONCLUSIONS: The evaluation score was not affected by timing of the evaluation. Variance in scores was similar for both immediate and delayed evaluations. Considerable amounts of time and energy are expended tracking down delayed evaluations. This activity does not impact a student's final grade.

DOI10.1016/j.jemermed.2015.09.010
Alternate JournalJ Emerg Med
PubMed ID26602424
Faculty Reference: 
Katherine Hiller, MD, MPH, FACEP
Anna Waterbrook, MD, FACEP