Variable trajectory: a systematic review, analytic synthesis and construct domain consolidation of international measures of competence in doctors and medical students

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Hodgson, K. L., Lamport, D. J. ORCID: https://orcid.org/0000-0002-4592-0439 and Laville, A. (2021) Variable trajectory: a systematic review, analytic synthesis and construct domain consolidation of international measures of competence in doctors and medical students. BMJ Open, 11 (8). e047395. ISSN 2044-6055 doi: 10.1136/bmjopen-2020-047395

Abstract/Summary

ABSTRACT Background Competence is assessed throughout a doctor’s career. Failure to identify and manage impaired competence can have critical consequences. Consistent conceptualisation and accurate measurement of this construct is imperative. Therefore, the objective of this review was to identify and evaluate measures used to assess competence in doctors and medical students. Methods A systematic search of the published literature was undertaken between December 2019 and February 2020 for articles reporting on the measurement of competence in doctors and/or medical students. Searches were conducted in the PsychSOURCE, US National Library of Medicine National Institutes of Health, MEDLINE (PubMed), The Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science electronic databases. Citation screening and forward citation tracking of included studies was carried out to identify any further relevant papers for inclusion. One thousand one-hundred and thirty-six potentially relevant articles were screened. An analytic synthesis approach was implemented to the identification, organization and interpretation of homogenous study and measure characteristics. Results Twelve competence domains were identified from the 153 identified measures. Knowledge and Procedural competence domains were the dominant focus of publications reporting current medical practice, but less so in research-based studies which more frequently assessed interpersonal, psychological, physiological and ethical competencies. In the 105 included articles, the reporting of measurement instrument quality was varied, with comprehensive reporting only present in 53.6% of measures; validation for some of the measures was particularly limited. Discussion Whilst this review included a considerable number of publications reporting the measurement of competence in doctors and medical students, the heterogeneity of the measures and variation of findings limit the ability to evaluate their validity and generalisability. However, this review presents a resource for researchers and medical educators which may inform operational practice and future research. Keywords: Competence · Doctor · Medical student · Physician · Performance

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Item Type	Article
URI	https://reading-clone.eprints-hosting.org/id/eprint/99819
Item Type	Article
Refereed	Yes
Divisions	Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology Life Sciences > School of Psychology and Clinical Language Sciences > Nutrition and Health
Publisher	BMJ Group
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Date Deposited:	24 Aug 2021 08:23	Date item deposited into CentAUR
Last Modified:	22 Nov 2024 02:49	Date item last modified

References

1 Grace ES, Wenghofer EF, Korinek EJ. Predictors of physician performance on competence assessment. Acad Med 2014;89(6):912–919. doi:10.1097/ACM.0000000000000248 2 Giesler M, Forster J, Biller S, et al. Development of a questionnaire to assess medical competencies: Reliability and validity of the Questionnaire. German medical science. Zeitschrift für medizinische Ausbildung 2011;28(2):Doc 31. doi:10.3205/zma000743 3 Epstein R, Hundert E. Defining and assessing professional competence. JAMA 2002;207(2): 226-235. doi: 10.1001/jama.287.2.226 4 Prediger S, Schick K, Fincke F, et al. Validation of a competence-based assessment of medical students' performance in the physician's role. BMC Med Educ 2020;20(1): 6. doi:10.1186/s12909-019-1919-x 5 Lehmann F, Côté L, Bourque A, et al. Physician-Patient Interaction: A Reliable and Valid Check-list of Quality. Canadian family physician Medecin de famille canadien 1990;36:1711–1716. PMID:21233993 6 Smith C, Likourezos A, Schiller J. Focused Teaching Improves Medical Student Professionalism and Data Gathering Skills in the Emergency Department. Cureus 2019;11(9):e5765. doi:10.7759/cureus.5765 7 Moher D, Liberati A, Tetzlaff J, et al. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement, Phys Ther 2009;89(9):873–880. doi:10.1093/ptj/89.9.873 8 Campbell M, McKenzie JE, Sowden A, et al. Synthesis without meta-analysis (SWiM) in systematic reviews: reporting guideline. Br Med J 2020;368:16890. doi: 10.1136/bmj.16890 9 Dixon-Woods M, Cavers D, et al. Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Med Res Methodol 2006;6(35). doi:10.1186/1471-2288-6-35 10 Burgess D, Dovidio J, Phelan S, et al. The effect of medical authoritarianism on physicians’ treatment decisions and attitudes regarding chronic pain. J Appl Soc P 2011;41(6):1399-1420. doi: 10.1111/j.1559-1816.2011.00759.x 11 Radabaugh C, Hawkins R, Welcher C, et al. Beyond the United States medical licensing examination score: Assessing competence for entering residency. Acad Med 2019;94(7):983-989. doi: 10.1097/ACM.0000000000002728 12 Thomas MR, Beckman TJ, Mauck KF, et al. Group assessments of resident physicians improve reliability and decrease halo error. J Gen Intern Med 2011;26(7):759-764. doi: 10.1007/s11606-011-1670-4 13 Van Der Vleuten C, Schuwirth L, Driessen EW, et al. Twelve Tips for programmatic assessment. Med Teach 2015;37(7):641–646. doi: 10.3109/0142159X.2014.973388 14 Morgan PJ, Cleave‐Hogg D. Comparison between medical students' experience, confidence and competence. Med Educ 2002;36(6):534-539. doi:10.1046/j.1365-2923.2002.01228 15 Pool AO, Govaerts MJ, Jaarsma DA, et al. From aggregation to interpretation: how assessors judge complex data in a competency-based portfolio. Adv Health Sci Educ 2018;23:275-287. doi: 10.1007/s10459-017-9793-y 16 Ginsburg S, McIlroy J, Oulanova O, et al. Toward authentic clinical evaluation. Pitfalls in the pursuit of competency. Acad Med 2010;85(5):780–786. doi: 10.1097/ACM.0b013e3181d73fb6 17 Joshi R, Ling FW, Jaeger J. Assessment of a 360-degree instrument to evaluate residents’ competency in interpersonal and communication skills. Acad Med 2004;79(5):458-463. doi: 10.1097/00001888-200405000-00017

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