Identifying Gaps in the Performance of Pediatric Trainees Who Receive Marginal/Unsatisfactory Ratings

Su-Ting T. Li, Daniel J. Tancredi, Alan Schwartz, Ann Guillot, Ann Burke, R. Franklin Trimm, Susan Guralnick, John D. Mahan, Kimberly A. Gifford
2018 Academic Medicine  
The radar chart graphically displays mean milestone levels by level of training for marginal/unsatisfactory (M/U) and satisfactory (S) pediatric residents for each of the 21 pediatric subcompetencies along an axis that begins with 1 in the center of the chart and ends with 5 (highest milestone level) on the outer ring. (For a full listing of the subcompetencies see Table 1 or Appendix 1.) Pediatric residents with satisfactory performance have higher milestone levels with each additional level
more » ... additional level of training. M/U PGY1s score 0.5-1 milestone level below their satisfactorily-performing peers in all subcompetency areas. Mean milestone levels of M/U PGY2s were similar to S PGY1s' mean levels in trustworthiness (Prof 5). Mean milestone levels of M/U PGY3s were lower than S PGY1s' mean levels for ethical behavior (Prof3). Abbreviations: M/U indicates marginal/unsatisfactory; S, satisfactory; PGY, postgraduate year; PC, patient care; MK, medical knowledge; PBLI, practice-based learning and improvement; ICS, interpersonal and communication skills; Prof, professionalism; SBP, systems-based practice. *These subcompetencies have only 4 milestone levels.
doi:10.1097/acm.0000000000001775 pmid:28640031 fatcat:xngwlj56wrfl3l6u3v3g2jfuoy