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Point-of-care Assessment of Medical Trainee Competence for Independent Clinical Work
Academic Medicine (2008)
  • Tara J. T. Kennedy
  • Glenn Regehr, University of Toronto
  • G. Ross Baker, University of Toronto
  • Lorelei Lingard, University of Toronto

BACKGROUND: Clinical supervisors make frequent assessments of medical trainees' competence so they can provide appropriate opportunities for trainees to experience clinical independence. This study explored context-specific assessments of trainees' competence for independent clinical work.

METHOD: In Phase One, 88 teaching team members from internal and emergency medicine were observed during clinical activities (216 hours), and 65 participants completed brief interviews. In Phase Two, 36 in-depth interviews were conducted using video vignettes. Data collection and analysis employed grounded theory methodology.

RESULTS: Supervisors' assessments of trainee trustworthiness for independent clinical work involved consideration of four dimensions: knowledge/skill, discernment of limitations, truthfulness, and conscientiousness. Supervisors' reliance on language cues as a source of trustworthiness data was revealed.

CONCLUSIONS: This study provides an initial exploration of context-specific competence assessments, which affect both patient safety and education, and provides a novel framework for study of the links between language use and competence.

  • Clinical Clerkship,
  • Clinical Competence,
  • Communication,
  • Decision Making,
  • Emergency Medicine,
  • Internal Medicine,
  • Internship and Residency,
  • Interpersonal Relations,
  • Point-of-Care Systems,
  • Reproducibility of Results
Publication Date
October, 2008
Publisher Statement

Dr. Lorelei Lingard is currently a faculty member at The University of Western Ontario.

Citation Information
Tara J. T. Kennedy, Glenn Regehr, G. Ross Baker and Lorelei Lingard. "Point-of-care Assessment of Medical Trainee Competence for Independent Clinical Work" Academic Medicine Vol. 83 Iss. 10 Suppl (2008)
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