Article    Table of Contents                    Full Text of this article Free    Figures/Tables List    Related articles in Annals  Services    Send comment/rapid response letter    Notify a friend about this article    Alert me when this article is cited    Add to Personal Archive    Download to Citation Manager    ACP Search                            Get Permissions  Google Scholar    Search for Related Content  PubMed Articles in PubMed by Author:    Holmboe, E. S.    Hawkins, R. E.    Related Articles in PubMed    PubMed Citation    PubMed

ACADEMIA AND CLINIC

Methods for Evaluating the Clinical Competence of Residents in Internal Medicine: A Review

Eric S. Holmboe, MD, and Richard E. Hawkins, MD

1 July 1998 | Volume 129 Issue 1 | Pages 42-48

This paper reviews methods commonly used to assess the clinical competence of residents in internal medicine, including the In-Training Examination, medical record audits, rating scales, clinical evaluation exercises, and the use of standardized patients. Studies were identified through a MEDLINE search (1966 to present) and from the bibliographies of relevant articles and were selected for inclusion according to consensus between the authors. Whenever possible, original studies were chosen over reviews and editorials.

No single assessment method can successfully evaluate the clinical competence of residents in internal medicine, and educators need to be cognizant of the most appropriate applications and the advantages and disadvantages of the available evaluation tools.A combination of assessment tools provides the best opportunity to evaluate and educate physicians-in-training.

Author and Article Information

From the Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, Connecticut; and Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Disclaimer: The opinions and views expressed herein are solely those of the authors and not those of the Department of Defense or Department of the United States Navy.
Requests for Reprints: Eric S. Holmboe, MD, Division of General Medicine, National Naval Medical Center, Bethesda, MD 20814.
Current Author Addresses: Dr. Holmboe: Division of General Medicine, National Naval Medical Center, Bethesda, MD 20814. Dr. Hawkins: Department of Medicine, EDP, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814-4799.

Related articles in Annals:

Letters
Computers and Evaluation of Clinical Competence
S. Barry Issenberg, William C. McGaghie, AND Robert A. Waugh

Annals 1999 130: 244. [Full Text]  

Letters
Computers and Evaluation of Clinical Competence
Eric S. Holmboe AND Richard E. Hawkins

Annals 1999 130: 244-245. [Full Text]  

This article has been cited by other articles:

				S R Kirsh and D C Aron Integrating the chronic-care model and the ACGME competencies: using shared medical appointments to focus on systems-based practice Qual. Saf. Health Care, February 1, 2008; 17(1): 15 - 19. [Full Text] [PDF]

				S. D. Sisson, D. A. Rastegar, T. N. Rice, and M. T. Hughes Multicenter Implementation of a Shared Graduate Medical Education Resource Arch Intern Med, December 10, 2007; 167(22): 2476 - 2480. [Abstract] [Full Text] [PDF]

				N. Brown and M. Doshi Assessing professional and clinical competence: the way forward Advan. Psychiatr. Treat., March 1, 2006; 12(2): 81 - 89. [Abstract] [Full Text] [PDF]

				A. H. Goroll, C. Sirio, F. D. Duffy, R. F. LeBlond, P. Alguire, T. A. Blackwell, W. E. Rodak, T. Nasca, and the Residency Review Committee for Internal Medici A New Model for Accreditation of Residency Programs in Internal Medicine Ann Intern Med, June 1, 2004; 140(11): 902 - 909. [Abstract] [Full Text] [PDF]

				C. K. Cassel Quality of Care and Quality of Training: A Shared Vision for Internal Medicine? Ann Intern Med, June 1, 2004; 140(11): 927 - 928. [Full Text] [PDF]

				A. K. Wong Full scale computer simulators in anesthesia training and evaluation: [Des simulateurs informatises grandeur nature pour la formation et l'evaluation en anesthesie] Can J Anesth, May 1, 2004; 51(5): 455 - 464. [Abstract] [Full Text] [PDF]

				R. M. Jennings, L. A. Thompson, C. L. Townsend, C. A. Stashwick, and D. C. Goodman The Relationship Between Pediatric Residency Program Size and Inpatient Illness Severity and Diversity Arch Pediatr Adolesc Med, July 1, 2003; 157(7): 676 - 680. [Abstract] [Full Text] [PDF]

				C. E. Cox, S. S. Carson, E. W. Ely, J. A. Govert, J. M. Garrett, R. G. Brower, D. G. Morris, E. Abraham, V. Donnabella, A. Spevetz, et al. Effectiveness of Medical Resident Education in Mechanical Ventilation Am. J. Respir. Crit. Care Med., January 1, 2003; 167(1): 32 - 38. [Abstract] [Full Text] [PDF]

				R. A. Garibaldi, R. Subhiyah, M. E. Moore, and H. Waxman The In-Training Examination in Internal Medicine: An Analysis of Resident Performance over Time Ann Intern Med, September 17, 2002; 137(6): 505 - 510. [Abstract] [Full Text] [PDF]

				R. Cornwall Teaching Professionalism in Orthopaedic Residency J. Bone Joint Surg. Am., April 1, 2001; 83(4): 626 - 626. [Full Text]

				R. A. Kearney, P. Sullivan, and E. Skakun Performance on ABA-ASA In-training Examination predicts success for RCPSC certification Can J Anesth, September 1, 2000; 47(9): 914 - 918. [Abstract] [Full Text] [PDF]

				W. R. Smith Evidence for the Effectiveness of Techniques To Change Physician Behavior Chest, August 1, 2000; 118(2_suppl): 8S - 17S. [Abstract] [Full Text] [PDF]

				B. S. Siegel and L. W. Greenberg Effective Evaluation of Residency Education: How Do We Know It When We See It? Pediatrics, April 1, 2000; 105(4): 964 - 965. [Full Text]

				C. P. Gross, G. B. Donnelly, A. B. Reisman, K. A. Sepkowitz, and M. A. Callahan Resident Expectations of Morning Report: A Multi-institutional Study Arch Intern Med, September 13, 1999; 159(16): 1910 - 1914. [Abstract] [Full Text] [PDF]

				S. B. Issenberg, W. C. McGaghie, and R. A. Waugh Computers and Evaluation of Clinical Competence Ann Intern Med, February 2, 1999; 130(3): 244 - 244. [Full Text] [PDF]