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Using Narratives to Evaluate Psychiatry Residents’ Competence

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Abstract

The authors propose a new way to assess the clinical competence of psychiatric residents. Faculty eualuators would be trained by using narrative descriptions of appropriate and inappropriate practice in various clinical settings. The training has the potential to provide more realistic data about the clinical abilities of residents than current methods.

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References

  1. Foreman S: Graduate medical education: focus for change. Acad Med 1990; 65:77–84

    Article  CAS  PubMed  Google Scholar 

  2. Gabriel TF, Brierley MA: Credentialing protocols used by internal medicine residency programs in New York State. Acad Med 1990; 65:769–771

    Article  Google Scholar 

  3. Sadler JZ, Hulgus YF: Clinical problem solving and the biopsychosocial model. Am J Psychiatry 1992; 149:1315–1323

    CAS  PubMed  Google Scholar 

  4. Sergiovanni TJ: Landscapes, mindscapes, and reflective practice in supervision. Journal of Curriculum and Supervision 1985; 1:5–1713

    Google Scholar 

  5. Burg FD, Lloyd JS, Templeton B: Competence in medicine. Medical Teaching 1982; 4:60–64

    Article  Google Scholar 

  6. Bonis JF, Yager J: Ongoing evaluation in psychiatry: the first step toward quality. Am J Psychiatry 1986; 143:1415–1419

    Google Scholar 

  7. Cohen R, Rothman Al, Poldre P, et al: Validity and generalizability of global ratings in an objective structured clinical examination. Acad Med 1991; 66:545–548

    Article  CAS  PubMed  Google Scholar 

  8. Stillman PL, Haley HL, Regan MB, et al: Positive effects of a clinical performance assessment program. Acad Med 1991; 66:481–483

    Article  CAS  PubMed  Google Scholar 

  9. Petrusa ER, Blackwell TA, Rogers LP, et al: An objective measure of clinical performance. Am J Med 1987; 83:34–42

    Article  CAS  PubMed  Google Scholar 

  10. Lochen EI: Using the objective structured clinical examination in psychiatry residency. Academic Psychiatry 1993; 17:95–104

    Google Scholar 

  11. Barrows HS: An overview of the uses of standard-ized patients for teaching and evaluating clinical skills. Acad Med 1993; 68:443–451

    Article  CAS  PubMed  Google Scholar 

  12. The researchers on clinical skills assessment (RCSA) of the clinical skills assessment alliance. Consensus statement of the researchers in clinical skills on the use of standardized patients to evaluate clinical skills. Acad Med 1993; 68:475–476

    Google Scholar 

  13. Flanagan JC: The critical incident technique. Psychol Bull 1954; 51:327–358

    Article  CAS  PubMed  Google Scholar 

  14. Newtrie DI: The critical incident technique: a new approach to the assessment of clinical performance. Med Educ 1983; 17:401–403

    Article  Google Scholar 

  15. Tasman A, Rieder R: The critical incident method: an evaluation model, in Training Psychiatrists for the ’90s: Issues and Recommendations, edited by Nadel-son CC, Robinowitz CB. Washington DC, American Psychiatric Press, 1987

  16. Gardner R: A cognitive examination for residency graduation is not necessary, in Training Psychiatrists for the ’90s: Issues and Recommendations, edited by Nadelson CC, Robinowitz CB. Washington DC, American Psychiatric Press, 1987

  17. Altmaier, E, Smith WI, Wood P, et al: Cross-institutional stability of behavioral criteria desirable for success in radiology residents. Invest Radiol 1989; 24:249–251

    Article  CAS  PubMed  Google Scholar 

  18. Yager J, Bonis JF, Robinowitz CB, et al: Developing minimal national standards for clinical experience in psychiatric training. Am J Psychiatry 1988; 145:1409–1413

    CAS  PubMed  Google Scholar 

  19. American Board of Internal Medicine: Guide to Evaluation of Residents in Internal Medicine 1988–1989. Portland, OR, American Board of Internal Medicine, 1988

  20. Health and Public Policy Committee American College of Physicians: Guide for the use of American College of Physicians’ statements on clinical competence. Ann Intern Med 1987; 107:589–591

    Google Scholar 

  21. Schank RC: Tell Me a Story. New York, Charles Scribner’s Sons, 1991, pp. 1–27

    Google Scholar 

  22. Eisner E: The Educational Imagination: On the Design and Evaluation of School Programs. New York, MacMillan, 1979

    Google Scholar 

  23. Schon DA: Educating the Reflective Practitioner: Towards a New Design For Teaching and Learning in the Professions. San Francisco, CA, Jossey-Bass, 1987

    Google Scholar 

  24. Anderson H, Goolishian HA: Human systems as linguistic systems: preliminary and evolving ideas about the implications for clinical theory. Fam Process 1988; 27:371–393

    Article  CAS  PubMed  Google Scholar 

  25. Whitman N: A review of constructionism: understanding and using relatively new theory. Fam Med 1994; 25:517–521

    Google Scholar 

  26. Nathan BR, Alexander RL: The role of inferential accuracy in performance rating. Academic Manage-ment Review 1985; 10:109–115

    CAS  Google Scholar 

  27. Irby C: How attending physicians make instructional decisions when conducting teaching rounds. Acad Med 1992; 67:630–638

    Article  CAS  PubMed  Google Scholar 

  28. Geertz C: Thick description: toward an interpretive theory of culture, in The Interpretation of Cultures: Selected Essays, edited by Geertz C. New York, Basic Books, 1973

    Google Scholar 

  29. Mishler EG: Validation in inquiry guided research: the role of exemplars in narrative studies. Harvard Educ Rev 1990; 60:415–442

    Google Scholar 

  30. Mishler EG: Meaning in context: is there any other kind? Harvard Educ Rev 1979; 49:1–19

    Google Scholar 

  31. Bosk CL: Forgive and Remember: Managing Medical Failure. Chicago, IL, University of Chicago Press, 1979

    Google Scholar 

  32. Littlefield JH, DaRosa DA, Anderson KD, et al: Accuracy of surgery clerkship performance raters. Acad Med 1991; 66 (suppl):S16–S18

    Article  CAS  PubMed  Google Scholar 

  33. Littlefield JH: Developing and maintaining a resident rating system, in How to Evaluate Residents, edited by Langsley D. Chicago, IL, American Board of Medical Specialties, 1986

    Google Scholar 

  34. Elliot DL, Hickam DH: Evaluation of physical examination skills. JAMA 1987; 258:3405–3408

    Article  CAS  PubMed  Google Scholar 

  35. Shanfield SB, Mohl PC, Matthews KL, et al: Quantitative assessment of the behavior of psychotherapy supervisors. Am J Psychiatry 1992; 149:352–357

    CAS  PubMed  Google Scholar 

  36. McDermott JF, Tanguay PE, Scheiber SC, et al: Reliability of the part II board certification examination in psychiatry: examination stability. Am J Psychiatry 1993; 150:1077–1080

    PubMed  Google Scholar 

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Shanfield, S.B., Terrell, C.D. & Littlefield, J.H. Using Narratives to Evaluate Psychiatry Residents’ Competence. Acad Psychiatry 21, 98–106 (1997). https://doi.org/10.1007/BF03341905

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