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Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine
BACKGROUND: The Resident Practice Audit in Gastroenterology (RPAGE) captures assessments of knowledge, professionalism, and technical skills, in real time. This brief report describes this innovative instrument and aspects of its utility. METHODS: Assessment data on colonoscopy, endoscopy, and sigmo...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Canadian Medical Education Journal
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681922/ https://www.ncbi.nlm.nih.gov/pubmed/31388379 |
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author | Monteiro, Sandra Xenodemetropoulos, Ted |
author_facet | Monteiro, Sandra Xenodemetropoulos, Ted |
author_sort | Monteiro, Sandra |
collection | PubMed |
description | BACKGROUND: The Resident Practice Audit in Gastroenterology (RPAGE) captures assessments of knowledge, professionalism, and technical skills, in real time. This brief report describes this innovative instrument and aspects of its utility. METHODS: Assessment data on colonoscopy, endoscopy, and sigmoidoscopy procedures in 2016 were submitted to a repeated measures ANOVA with six within subjects’ assessments and one between subjects’ factor of year of specialization to evaluate construct validity. The validity hypothesis tested was that more experienced residents would be rated higher than less experienced residents. Reliability was assessed using Cronbach’s alpha. RESULTS: The proportion of completed assessments was relatively low (9 to 22%). Overall reliability was high (α >0.8). There was evidence of validity as global ratings indicated higher competence for senior residents at colonoscopy (1.6) and upper endoscopy (1.4) than for more junior residents (1.9 and 2.1 respectively). These differences were significant for both colonoscopy, (F (1, 282) = 14.8, p <0.001) and endoscopy, F (1, 136) = 56.9, p <0.001. CONCLUSION: These findings suggest RPAGE is an acceptable electronic log of practice data, but may not be acceptable for workplace based assessment. A key next step will be to evaluate how information collected through RPAGE can help inform resident competency committees. |
format | Online Article Text |
id | pubmed-6681922 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Canadian Medical Education Journal |
record_format | MEDLINE/PubMed |
spelling | pubmed-66819222019-08-06 Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine Monteiro, Sandra Xenodemetropoulos, Ted Can Med Educ J Brief Reports BACKGROUND: The Resident Practice Audit in Gastroenterology (RPAGE) captures assessments of knowledge, professionalism, and technical skills, in real time. This brief report describes this innovative instrument and aspects of its utility. METHODS: Assessment data on colonoscopy, endoscopy, and sigmoidoscopy procedures in 2016 were submitted to a repeated measures ANOVA with six within subjects’ assessments and one between subjects’ factor of year of specialization to evaluate construct validity. The validity hypothesis tested was that more experienced residents would be rated higher than less experienced residents. Reliability was assessed using Cronbach’s alpha. RESULTS: The proportion of completed assessments was relatively low (9 to 22%). Overall reliability was high (α >0.8). There was evidence of validity as global ratings indicated higher competence for senior residents at colonoscopy (1.6) and upper endoscopy (1.4) than for more junior residents (1.9 and 2.1 respectively). These differences were significant for both colonoscopy, (F (1, 282) = 14.8, p <0.001) and endoscopy, F (1, 136) = 56.9, p <0.001. CONCLUSION: These findings suggest RPAGE is an acceptable electronic log of practice data, but may not be acceptable for workplace based assessment. A key next step will be to evaluate how information collected through RPAGE can help inform resident competency committees. Canadian Medical Education Journal 2019-07-24 /pmc/articles/PMC6681922/ /pubmed/31388379 Text en © 2019 Monteiro; licensee Synergies Partners http://creativecommons.org/licenses/by/2.0 This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Brief Reports Monteiro, Sandra Xenodemetropoulos, Ted Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine |
title | Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine |
title_full | Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine |
title_fullStr | Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine |
title_full_unstemmed | Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine |
title_short | Resident Practice Audit in Gastroenterology (RPAGE): an innovative approach to trainee evaluation and professional development in medicine |
title_sort | resident practice audit in gastroenterology (rpage): an innovative approach to trainee evaluation and professional development in medicine |
topic | Brief Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681922/ https://www.ncbi.nlm.nih.gov/pubmed/31388379 |
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