Intern underperformance is detected more frequently in emergency medicine rotations

Aram, Narelle, Brazil, Victoria, Davin, Lorna, & Greenslade, Jaimi (2012) Intern underperformance is detected more frequently in emergency medicine rotations. Emergency Medicine Australasia, 25(1), pp. 68-74.

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Abstract

Objective: To determine the frequency and nature of intern underperformance as documented on in-training assessment forms.

Methods: A retrospective review of intern assessment forms from a 2 year period (2009–2010) was conducted at a tertiary referral hospital in Brisbane, Queensland. The frequency of interns assessed as ‘requiring substantial assistance’ and/or ‘requires further development’ on mid- or end-of-term assessment forms was determined. Forms were analysed by the clinical rotation, time of year and domain(s) of clinical practice in which underperformance was documented.

Results: During 2009 and 2010 the overall documented incidence of intern underperformance was 2.4% (95% CI 1.5–3.9%). Clinical rotation in emergency medicine detected significantly more underperformance compared with other rotations (P < 0.01). Interns predominantly had difficulty with ‘clinical judgment and decision-making skills’, ‘time management skills’ and ‘teamwork and colleagues’ (62.5%, 55% and 32.5% of underperforming assessments, respectively). Time of the year did not affect frequency of underperformance. A proportion of 13.4% (95% CI 9.2–19.0%) of interns working at the institution over the study period received at least one assessment in which underperformance was documented. Seventy-six per cent of those interns who had underperformance identified by mid-term assessment successfully completed the term following remediation.

Conclusion: The prevalence of underperformance among interns is low, although higher than previously suggested. Emergency medicine detects relatively more interns in difficulty than other rotations.

Impact and interest:

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ID Code: 60235
Item Type: Journal Article
Refereed: Yes
Keywords: Assessment, Emergency medicine , Intern, Medical Education
DOI: 10.1111/1742-6723.12031
ISSN: 1742-6731
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Deposited On: 27 May 2013 22:39
Last Modified: 29 May 2013 00:56

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