Table 1.
Three Evaluation Instruments Used and Mean Performance in All Four Teaching Stations (N = 65)
| Evaluation Instruments | Mean (SD) Range |
|---|---|
| A. Faculty Evaluation of Teaching Competence (19 items)* | |
| Specific Teaching Competencies (4-point scales) | |
| Rapport building | 3.3 (0.4) |
| 1. Communicates nonjudgmental, respectful, and supportive attitude (e.g., acknowledges challenge) | 2.0 to 4.0 |
| 2. Exhibits appropriate nonverbal behavior | |
| 3. Recognizes and names emotions (e.g., insecurity, stress) | |
| 4. Responds to emotion with PEARLS or nonverbally | |
| Needs assessment | 3.0 (0.5) |
| 5. Assesses knowledge gaps (e.g., asks student what she knows/does not know) | 1.8 to 4.0 |
| 6. Assesses skills (e.g., asks student to demonstrate) | |
| Instructional skills | 3.0 (0.5) |
| 7. Asks learner to commit to diagnosis/plan | 1.8 to 4.0 |
| 8. Probes for supporting evidence/thought process | |
| 9. Gives information/teaches skills in small chunks | |
| 10. Provides feedback on specific knowledge | |
| 11. Checks learner's understanding of what was taught | |
| 12. Invites questions (to ask now or later) | |
| Knowledge base demonstrated 13–16. Four case-specific items | 2.8 (0.5) 1.6 to 3.8 |
| Global Performance (9-point scales) | |
| 17. Overall teaching performance | 6.5 (1.2) 3.5 to 8.5 |
| 18. Communication skills | 6.8 (1.2) 3.0 to 9.0 |
| 19. Fund of medical knowledge demonstrated | 6.5 (1.5) 3.0 to 9.0 |
| B. Resident Self-assessment for Overall Case Performance (1 item) | 5.7 (1.5) |
| 1 = needs improvement, 9 = done excellently | 1.0 to 8.5 |
| C. Student Evaluation of Resident's Teaching Competence (1 item) | 3.4 (0.4) 2.0 to 4.0 |
| 1 = “not satisfied—would do my best to avoid working with this resident again” | |
| 4 = “very satisfied—one of the best teachers, would recommend to my colleagues” |
*
The faculty evaluation was done on a scale of 1 to 4, except for the 3 global assessments, which were on a scale of 1 to 9, with 1 to 3 = “needs improvement,” 4 to 6 = “done well,” and 7 to 9 = “done excellently.” Mean for each of the 4 competencies is the average of the specific items listed for that competency.
PEARLS, partnership, empathy, apology, respect, legitimization, and support.