GME Evaluation Task Force RecommendationJuly 1, 2008
PROFESSIONALISM, INTERPERSONAL AND COMMUNICATION SKILLS
The optimal number of patient surveys is uncertain. As initially used in an ABIM continuing professional development context, 20 surveys were recommended. A feasibility study with Canadian internal medicine residents showed 12 outpatient surveys to be associated with poor reliability (0.56) (1).
Data using the Consultation and Relational Empathy (CARE) survey, which is used for physician accreditation in Scotland, suggest that more than 40 patients may be necessary for good inter-rater reliability (.80) with 25 patients providing adequate reliability (.70) (2).
Content validity exists to the extent that a measure actually assesses the communication and professionalism skills it is intended to measure. The ABIM’s 10 items sample multiple aspects of doctor-patient communication (greeting, listening, establishing rapport, explaining, inviting participation in decision-making) and professionalism (truthfulness, respect, sensitivity to linguistic barriers). The physician characteristics evaluated using the CARE survey are similar to those assessed using the ABIM survey. Although the CARE survey has some advantages in how it describes the characteristics being evaluated, we recommend the ABIM survey because it is so widely used and studied in the United States.
A systematic approach is recommended to maximize the use of the assessments and facilitate data management. An example follows in the Appendix.
1. Tamblyn R, Benaroya S, Snell L, McLeod P, Schnarch B, Abrahamowicz M. The feasibility and value of using patient satisfaction ratings to evaluate internal medicine residents. J Gen Intern Med 1994;9(3):146-52.
2. Murphy DJ, Bruce DA, Mercer SW, Eva KW. The reliability of workplace-based assessment in postgraduate medical education and training: a national evaluation in general practice in the United Kingdom. Adv in Health Sci Educ 2008 DOI 10.1007/s10459-008-9104-8.
Patient Care Surveys - Professionalism, Communication and Interpersonal Skills
Core Measure for UCSF GME
- GME Curriculum Committee
- Curriculum Resources
- ACGME Competencies & Assessment
- GME Evaluation and Assessment Recommendations - 7/1/08 - New
- Learning & Career Development
- Learning Portfolios
Graduate Medical Education
500 Parnassus Avenue, MU 250 East
San Francisco, CA 94143-0474