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Selected Works of Lorelei Lingard
Article
Rules of Engagement: Residents' Perceptions of the In-training Evaluation Process
Academic Medicine (2008)
  • Christopher J. Watling, The University of Western Ontario
  • Cynthia F. Kenyon, The University of Western Ontario
  • Elaine M. Zibrowski, The University of Western Ontario
  • Valerie Schulz, The University of Western Ontario
  • Mark A. Goldszmidt, The University of Western Ontario
  • Indu Singh, The University of Western Ontario
  • Heather L. Maddocks, The University of Western Ontario
  • Lorelei Lingard, University of Toronto
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Abstract

BACKGROUND: In-training evaluation reports (ITERs) often fall short of their goals of promoting resident learning and development. Efforts to address this problem through faculty development and assessment-instrument modification have been disappointing. The authors explored residents' experiences and perceptions of the ITER process to gain insight into why the process succeeds or fails.

METHOD: Using a grounded theory approach, semistructured interviews were conducted with 20 residents. Constant comparative analysis for emergent themes was conducted.

RESULTS: All residents identified aspects of "engagement" in the ITER process as the dominant influence on the success of ITERs. Both external (evaluator-driven, such as evaluator credibility) and internal (resident-driven, such as self-assessment) influences on engagement were elaborated. When engagement was lacking, residents viewed the ITER process as inauthentic.

CONCLUSIONS: Engagement is a critical factor to consider when seeking to improve ITER use. Our articulation of external and internal influences on engagement provides a starting point for targeted interventions.

Keywords
  • Attitude of Health Personnel,
  • Cohort Studies,
  • Educational Measurement,
  • Inservice Training,
  • Internship and Residency,
  • Interprofessional Relations,
  • Interviews,
  • Knowledge of Results,
  • Program Evaluation,
  • Reproducibility of Results
Disciplines
Publication Date
October, 2008
Publisher Statement

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

Citation Information
Christopher J. Watling, Cynthia F. Kenyon, Elaine M. Zibrowski, Valerie Schulz, et al.. "Rules of Engagement: Residents' Perceptions of the In-training Evaluation Process" Academic Medicine Vol. 83 Iss. 10 Suppl (2008)
Available at: http://works.bepress.com/loreleilingard/30/