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A pilot study of peer review in residency training

1999; Springer Science+Business Media; Volume: 14; Issue: 9 Linguagem: Inglês

10.1046/j.1525-1497.1999.10148.x

1525-1497

Patricia A. Thomas, Kelly A. Gebo, David B. Hellmann,

Clinical Reasoning and Diagnostic Skills

To explore the utility of peer review (review by fellow interns or residents in the firm) as an additional method of evaluation in a university categorical internal medicine residency program.Senior residents and interns were asked to complete evaluations of interns at the end-of-month ward rotations.Response rates for senior residents evaluating 16 interns were 70%; for interns evaluating interns, 35%. Analysis of 177 instruments for 16 interns showed high internal consistency in the evaluations. Factor analysis supported a two-dimensional view of clinical competence. Correlations between faculty, senior resident, and intern assessments of interns were good, although varied by domain.An end-of-year attitude survey found that residents gave high ratings to the value of feedback from peers.