Faculty Development to Improve Mini-CEX Ratings

Mayo Clinic

Status: Completed

Conditions: Faculty Development

Treatments: Behavioral: Rater training workshop

Study type: Interventional

Funder types: Other

Identifiers

NCT00667940

06-002730

Details and patient eligibility

About

We will conduct a faculty development workshop with intent to improve interrater reliability and rater accuracy. Outcomes will include interrater reliability, accuracy, and workshop evaluations.

Full description

Hypothesis: An intervention for training faculty preceptors on the use of the mini-CEX will improve inter-rater reliability and classification accuracy.

Methods. We will develop a faculty development workshop aimed at improving the inter-rater reliability and accuracy of mini-CEX scores. To evaluate the workshop we will conduct a randomized, controlled trial. Preceptors will be randomly assigned to immediate or delayed workshop. The primary outcome will be inter-rater reliability of mini-CEX scores as preceptors rate videotaped resident-patient encounters before and four weeks after the workshop. We will also evaluate the accuracy of performance classifications. We will also collect mini-CEX ratings of actual resident-patient interactions one year preceding and one year following the workshop, and calculate interrater reliability.

Statistical methods. Inter-rater reliability will be determined using the intraclass correlation coefficient (ICC) and corresponding confidence intervals. ICC will be used to determine chance-corrected agreement (accuracy). Discrimination (differences in mean scores among scripted levels of performance) will also be evaluated as a measure of accuracy.

Scientific basis. Clinical performance assessments constitute a key element of resident education. The effect of rater training on the inter-rater reliability of mini-CEX scores is unknown. This workshop will utilize methods (rater error and field of reference training) shown to be effective in improving rater accuracy in non-medical fields.

Inclusion criteria. All internal medicine residency continuity clinic preceptors are eligible.

Enrollment: 52 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Internal medicine residency continuity clinic preceptor at Mayo Clinic Rochester Minnesota

Exclusion criteria

• None

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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52 participants in 2 patient groups

Workshop

Experimental group

Description:

Rater training workshop: rater error training, performance dimension training, behavioral observation training, and frame of reference training using lecture, video, and facilitated discussion

Treatment:

Behavioral: Rater training workshop

Delayed workshop

No Intervention group

Description:

No specific intervention until after follow-up assessment, then receives same workshop.