Peer assessment of professional competence

Background  Current assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of competence, such as interpersonal skills, humanism and teamwork skills, are less well developed. This study describes the development, implement...

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Published inMedical education Vol. 39; no. 7; pp. 713 - 722
Main Authors Dannefer, Elaine F, Henson, Lindsey C, Bierer, S Beth, Grady-Weliky, Tana A, Meldrum, Sean, Nofziger, Anne C, Barclay, Craig, Epstein, Ronald M
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Science Ltd 01.07.2005
Blackwell
Wiley Subscription Services, Inc
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Online AccessGet full text
ISSN0308-0110
1365-2923
DOI10.1111/j.1365-2929.2005.02193.x

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Abstract Background  Current assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of competence, such as interpersonal skills, humanism and teamwork skills, are less well developed. This study describes the development, implementation and results of peer assessment as a measure of professional competence of medical students to be used for formative purposes. Methods  Year 2 medical students assessed the professional competence of their peers using an online assessment instrument. Fifteen randomly selected classmates were assigned to assess each student. The responses were analysed to determine the reliability and validity of the scores and to explore relationships between peer assessments and other assessment measures. Results  Factor analyses suggest a 2‐dimensional conceptualisation of professional competence: 1 factor represents Work Habits, such as preparedness and initiative, and the other factor represents Interpersonal Habits, including respect and trustworthiness. The Work Habits factor had moderate, yet statistically significant correlations ranging from 0.21 to 0.53 with all other performance measures that were part of a comprehensive assessment of professional competence. Approximately 6 peer raters were needed to achieve a generalisability coefficient of 0.70. Conclusions  Our findings suggest that it is possible to introduce peer assessment for formative purposes in an undergraduate medical school programme that provides multiple opportunities to interact with and observe peers.
AbstractList Background  Current assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of competence, such as interpersonal skills, humanism and teamwork skills, are less well developed. This study describes the development, implementation and results of peer assessment as a measure of professional competence of medical students to be used for formative purposes. Methods  Year 2 medical students assessed the professional competence of their peers using an online assessment instrument. Fifteen randomly selected classmates were assigned to assess each student. The responses were analysed to determine the reliability and validity of the scores and to explore relationships between peer assessments and other assessment measures. Results  Factor analyses suggest a 2‐dimensional conceptualisation of professional competence: 1 factor represents Work Habits, such as preparedness and initiative, and the other factor represents Interpersonal Habits, including respect and trustworthiness. The Work Habits factor had moderate, yet statistically significant correlations ranging from 0.21 to 0.53 with all other performance measures that were part of a comprehensive assessment of professional competence. Approximately 6 peer raters were needed to achieve a generalisability coefficient of 0.70. Conclusions  Our findings suggest that it is possible to introduce peer assessment for formative purposes in an undergraduate medical school programme that provides multiple opportunities to interact with and observe peers.
Current assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of competence, such as interpersonal skills, humanism and teamwork skills, are less well developed. This study describes the development, implementation and results of peer assessment as a measure of professional competence of medical students to be used for formative purposes.BACKGROUNDCurrent assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of competence, such as interpersonal skills, humanism and teamwork skills, are less well developed. This study describes the development, implementation and results of peer assessment as a measure of professional competence of medical students to be used for formative purposes.Year 2 medical students assessed the professional competence of their peers using an online assessment instrument. Fifteen randomly selected classmates were assigned to assess each student. The responses were analysed to determine the reliability and validity of the scores and to explore relationships between peer assessments and other assessment measures.METHODSYear 2 medical students assessed the professional competence of their peers using an online assessment instrument. Fifteen randomly selected classmates were assigned to assess each student. The responses were analysed to determine the reliability and validity of the scores and to explore relationships between peer assessments and other assessment measures.Factor analyses suggest a 2-dimensional conceptualisation of professional competence: 1 factor represents Work Habits, such as preparedness and initiative, and the other factor represents Interpersonal Habits, including respect and trustworthiness. The Work Habits factor had moderate, yet statistically significant correlations ranging from 0.21 to 0.53 with all other performance measures that were part of a comprehensive assessment of professional competence. Approximately 6 peer raters were needed to achieve a generalisability coefficient of 0.70.RESULTSFactor analyses suggest a 2-dimensional conceptualisation of professional competence: 1 factor represents Work Habits, such as preparedness and initiative, and the other factor represents Interpersonal Habits, including respect and trustworthiness. The Work Habits factor had moderate, yet statistically significant correlations ranging from 0.21 to 0.53 with all other performance measures that were part of a comprehensive assessment of professional competence. Approximately 6 peer raters were needed to achieve a generalisability coefficient of 0.70.Our findings suggest that it is possible to introduce peer assessment for formative purposes in an undergraduate medical school programme that provides multiple opportunities to interact with and observe peers.CONCLUSIONSOur findings suggest that it is possible to introduce peer assessment for formative purposes in an undergraduate medical school programme that provides multiple opportunities to interact with and observe peers.
Current assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of competence, such as interpersonal skills, humanism and teamwork skills, are less well developed. This study describes the development, implementation and results of peer assessment as a measure of professional competence of medical students to be used for formative purposes. Year 2 medical students assessed the professional competence of their peers using an online assessment instrument. Fifteen randomly selected classmates were assigned to assess each student. The responses were analysed to determine the reliability and validity of the scores and to explore relationships between peer assessments and other assessment measures. Factor analyses suggest a 2-dimensional conceptualisation of professional competence: 1 factor represents Work Habits, such as preparedness and initiative, and the other factor represents Interpersonal Habits, including respect and trustworthiness. The Work Habits factor had moderate, yet statistically significant correlations ranging from 0.21 to 0.53 with all other performance measures that were part of a comprehensive assessment of professional competence. Approximately 6 peer raters were needed to achieve a generalisability coefficient of 0.70. Our findings suggest that it is possible to introduce peer assessment for formative purposes in an undergraduate medical school programme that provides multiple opportunities to interact with and observe peers.
Author Henson, Lindsey C
Barclay, Craig
Nofziger, Anne C
Bierer, S Beth
Meldrum, Sean
Epstein, Ronald M
Dannefer, Elaine F
Grady-Weliky, Tana A
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  fullname: Dannefer, Elaine F
  organization: Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA
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  surname: Henson
  fullname: Henson, Lindsey C
  organization: Department of Anaesthesiology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA
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  organization: Cleveland Clinic Center for Medical Education Research and Development, Cleveland, Ohio, USA
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  surname: Grady-Weliky
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  surname: Meldrum
  fullname: Meldrum, Sean
  organization: Department of Family Medicine and Rochester Center to Improve Communication in Health Care, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
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  surname: Nofziger
  fullname: Nofziger, Anne C
  organization: Department of Family Medicine and Rochester Center to Improve Communication in Health Care, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
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  givenname: Craig
  surname: Barclay
  fullname: Barclay, Craig
  organization: Warner Graduate School of Education, University of Rochester, Rochester, New York, USA
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  givenname: Ronald M
  surname: Epstein
  fullname: Epstein, Ronald M
  organization: Department of Family Medicine and Rochester Center to Improve Communication in Health Care, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA
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Issue 7
Keywords Evaluation
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medical
Achievement Measurement
education
medical; reproducibility of results
Attitude
Medical staff
undergraduate/ standards; educational measurement/ standards; professional competence/ standards; attitude of health personnel; peer review; students
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Rudy DW, Fejfar MC, Griffith CH, Wilson JF. Self and peer assessment in a first-year communication and interviewing course. Eval Health Prof 2001;24: 436-45.DOI: 10.1177/01632780122035000
Hemmer PA, Hawkins R, Jackson JL, Pangaro LN. Assessing how well three evaluation methods detect deficiencies in medical students' professionalism in two settings of an internal medicine clerkship. Acad Med 2000;75: 167-73.
Rodgers KG, Manifold DO. 360-degree feedback: possibilities for assessment of the ACGME core competencies for emergency medicine residents. Acad Emerg Med 2002;9: 1300-4.DOI: 10.1197/aemj.9.11.1300
Hair JE, Anderson RE, Tatham RL. Multivariate Data Analysis. 5th edn. Upper Saddle River, New Jersey: Prentice Hall 1998;887-136.
Asch E, Saltzberg D, Kaiser S. Reinforcement of self-directed learning and the development of professional attitudes through peer- and self-assessment. Acad Med 1998;73: 575.
Thomas PA, Gebo KA, Hellmann DB. Pilot study of peer review in residency training. J Gen Intern Med 1999;14: 551-4.DOI: 10.1046/j.1525-1497.1999.10148.x
Medical School Objectives Writing Group. Learning objectives for medical student education - guidelines for medical students. Report 1 of the Medical School Objectives Project. Acad Med 1999;74: 18-8.
Cohen J. Measuring professionalism: listening to our students. Acad Med 1999;74: 1010.
Arnold L. Assessing professional behaviour: yesterday, today and tomorrow. Acad Med 2002;77: 502-15.
Linn BS, Arostegui M, Zeppa R. Performance rating scale for peer and self-assessment. Br J Med Educ 1975;9: 98-101.
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Downing SF. Reliability: on the reproducibility of assessment data. Med Educ 2004;38: 1006-12.DOI: 10.1111/j.1365-2929.2004.01932.x
Arnold L, Willoughby L, Calkins V, Gammon L, Eberhart G. Use of peer evaluation in the assessment of medical students. J Med Educ 1981;56: 35-42.
Van Rosendaal GM, Jennett PA. Comparing peer and faculty evaluations in an internal medicine residency. Acad Med 1994;69: 199-303.
Ginsburg S, Regehr G, Hatala R et al. Context, conflict and resolution: a new conceptual framework for evaluating professionalism. Acad Med 2000;75 (Suppl):6-11.
Ramsey PG, Carlene JD, Blank LL, Wenrich MD. Feasibility of hospital-based use of peer ratings to evaluate the performances of practicing physicians. Acad Med 1996;71: 364-70.
Epstein RM, Dannefer EF, Nofziger A et al. Comprehensive assessment of professional competence: the Rochester experiment. Teach Learn Med 2004;16: 186-96.DOI: 10.1207/s15328015tlm1602_12
Wass V, Van Der Vleuten C, Shatzer J, Jones R. Assessment of clinical competence. Lancet 2001;357: 945-9.DOI: 10.1016/S0140-6736(00)04221-5
Brennan RL. Generalizability Theory. New York: Springer-Verlag 2001.
Prislin MD, Lie D, Shapiro J, Boker J, Radecki S. Using standardised patients to assess medical students' professionalism. Acad Med 2001;76: S90-S92.
Epstein RE, Hundert EM. Defining and assessing professional competence. JAMA 2002;287: 226-33.DOI: 10.1001/jama.287.2.226
DiMatteo MR, DiNicola DD. Sources of assessment of physician performance: a study of comparative reliability and patterns of intercorrelation. Med Care 1981;19: 829-39.
Schumacher C. A factor-analytic study of various criteria of medical student accomplishment. J Med Educ 1964;39: 192-6.
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Ramsey PG, Wenrich MD, Carline JD, Inui TS, Larson EB, LoGerfo JP. Use of peer ratings to evaluate physician performance. JAMA 1993;269: 1655-60.DOI: 10.1001/jama.269.13.1655
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References_xml – reference: Van Der Vleuten C. The assessment of professional competence: developments, research and practical implications. Adv Health Sci Educ 1996;1: 41-67.DOI: 10.1007/BF00596229
– reference: Korman M, Stubblefield R. Medical school evaluation and internship performance. J Med Educ 1971;46: 670-3.
– reference: Epstein RM, Dannefer EF, Nofziger A et al. Comprehensive assessment of professional competence: the Rochester experiment. Teach Learn Med 2004;16: 186-96.DOI: 10.1207/s15328015tlm1602_12
– reference: Norcini JF. Peer assessment of competence. Med Educ 2003;37: 539-43.DOI: 10.1046/j.1365-2923.2003.01536.x
– reference: Ginsburg S, Regehr G, Hatala R et al. Context, conflict and resolution: a new conceptual framework for evaluating professionalism. Acad Med 2000;75 (Suppl):6-11.
– reference: Schumacher C. A factor-analytic study of various criteria of medical student accomplishment. J Med Educ 1964;39: 192-6.
– reference: Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: from Flexner to competencies. Acad Med 2002;77: 361-7.
– reference: Thomas PA, Gebo KA, Hellmann DB. Pilot study of peer review in residency training. J Gen Intern Med 1999;14: 551-4.DOI: 10.1046/j.1525-1497.1999.10148.x
– reference: Van Rosendaal GM, Jennett PA. Comparing peer and faculty evaluations in an internal medicine residency. Acad Med 1994;69: 199-303.
– reference: Downing SF. Reliability: on the reproducibility of assessment data. Med Educ 2004;38: 1006-12.DOI: 10.1111/j.1365-2929.2004.01932.x
– reference: Wass V, Van Der Vleuten C, Shatzer J, Jones R. Assessment of clinical competence. Lancet 2001;357: 945-9.DOI: 10.1016/S0140-6736(00)04221-5
– reference: Medical School Objectives Writing Group. Learning objectives for medical student education - guidelines for medical students. Report 1 of the Medical School Objectives Project. Acad Med 1999;74: 18-8.
– reference: Gorsuch RL. Factor Analysis. 2nd edn. Hillsdale, New Jersey: Lawrence Erlbaum 1983.
– reference: DiMatteo MR, DiNicola DD. Sources of assessment of physician performance: a study of comparative reliability and patterns of intercorrelation. Med Care 1981;19: 829-39.
– reference: Arnold L, Willoughby L, Calkins V, Gammon L, Eberhart G. Use of peer evaluation in the assessment of medical students. J Med Educ 1981;56: 35-42.
– reference: Ramsey PG, Carlene JD, Blank LL, Wenrich MD. Feasibility of hospital-based use of peer ratings to evaluate the performances of practicing physicians. Acad Med 1996;71: 364-70.
– reference: Hemmer PA, Hawkins R, Jackson JL, Pangaro LN. Assessing how well three evaluation methods detect deficiencies in medical students' professionalism in two settings of an internal medicine clerkship. Acad Med 2000;75: 167-73.
– reference: Arnold L. Assessing professional behaviour: yesterday, today and tomorrow. Acad Med 2002;77: 502-15.
– reference: Prislin MD, Lie D, Shapiro J, Boker J, Radecki S. Using standardised patients to assess medical students' professionalism. Acad Med 2001;76: S90-S92.
– reference: Rodgers KG, Manifold DO. 360-degree feedback: possibilities for assessment of the ACGME core competencies for emergency medicine residents. Acad Emerg Med 2002;9: 1300-4.DOI: 10.1197/aemj.9.11.1300
– reference: Asch E, Saltzberg D, Kaiser S. Reinforcement of self-directed learning and the development of professional attitudes through peer- and self-assessment. Acad Med 1998;73: 575.
– reference: Ramsey PG, Wenrich MD, Carline JD, Inui TS, Larson EB, LoGerfo JP. Use of peer ratings to evaluate physician performance. JAMA 1993;269: 1655-60.DOI: 10.1001/jama.269.13.1655
– reference: Linn BS, Arostegui M, Zeppa R. Performance rating scale for peer and self-assessment. Br J Med Educ 1975;9: 98-101.
– reference: Epstein RE, Hundert EM. Defining and assessing professional competence. JAMA 2002;287: 226-33.DOI: 10.1001/jama.287.2.226
– reference: Rudy DW, Fejfar MC, Griffith CH, Wilson JF. Self and peer assessment in a first-year communication and interviewing course. Eval Health Prof 2001;24: 436-45.DOI: 10.1177/01632780122035000
– reference: Ramsey PG, Wenrich MD. Peer ratings: an assessment tool whose time has come. J Gen Intern Med 1999;14: 581-2.DOI: 10.1046/j.1525-1497.1999.07019.x
– reference: Brennan RL. Generalizability Theory. New York: Springer-Verlag 2001.
– reference: Hair JE, Anderson RE, Tatham RL. Multivariate Data Analysis. 5th edn. Upper Saddle River, New Jersey: Prentice Hall 1998;887-136.
– reference: Cohen J. Measuring professionalism: listening to our students. Acad Med 1999;74: 1010.
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Snippet Background  Current assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of...
Current assessment formats for medical students reliably test core knowledge and basic skills. Methods for assessing other important domains of competence,...
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SubjectTerms Attitude of Health Personnel
Clinical Competence - standards
Curriculum subjects: programmes and methods
Data Collection
Decision Making
education
Education, Medical, Undergraduate - standards
Educational Measurement - standards
Educational sciences
Humans
medical
Medical and paramedical education
Peer Review
Professional Competence - standards
reproducibility of results
students
Teaching methods
undergraduate/standards
Title Peer assessment of professional competence
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https://www.ncbi.nlm.nih.gov/pubmed/15960792
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