Article

Advances in Health Sciences Education

, Volume 9, Issue 4, pp 309-323

Demonstration of Portfolios to Assess Competency of Residents

  • Patricia S. O’sullivanAffiliated withOffice of Educational Development, University of Arkansas for Medical Sciences Email author 
  • , Mark D. ReckaseAffiliated withCollege of Education, Michigan State University
  • , Tina McClainAffiliated withDepartment of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences
  • , Mildred A. SavidgeAffiliated withOffice of Educational Development, University of Arkansas for Medical Sciences
  • , James A. ClardyAffiliated withDepartment of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences

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Abstract

Residency educators are identifying approaches to measure resident competence. Portfolios are well suited since they require work already completed as part of patient care where competency must be demonstrated. This paper describes assessment of the reliability and validity of portfolios in a psychiatry residency program. This was a cross-sectional study across 4years of residency education. Using guidelines, 18 residents assembled portfolios containing five entries chosen from 13 skills. Trained raters scored the portfolios. Residents and faculty were interviewed about their perceptions. Generalizability results indicated five entries and two raters were sufficient for relative decisions. Six entries or a third rater would be sufficient for absolute decisions. Portfolio scores tended to improve with years of training and correlated with psychiatric knowledge but not clinical performance. Residents and faculty identified benefits to assembling a portfolio. Portfolios incorporate tasks embedded in the residency to provide evidence of resident competency. The results support that the score is reliable and valid.

Keywords

medical education portfolios reliability residency education validity