Table 4.

Chart reviewers’ assessments of clinical adequacy

PA or FY2 consultation record		Judgement of appropriateness
		Medical history				Examination				Request for radiography*				Treatment plan and decision				Advice given				Follow-up
		Appropriate	Error or omission			Appropriate	Error or omission			Appropriate	Error or omission			Appropriate	Error or omission			Appropriate	Error or omission			Appropriate	Error or omission
			Harm unlikely	Altered treatment	Harm		Harm unlikely	Altered treatment	Harm		Harm unlikely	Altered treatment	Harm		Harm unlikely	Altered treatment	Harm		Harm unlikely	Altered treatment	Harm		Harm unlikely	Altered treatment	Harm
FY2	n	14	6	0	0	15	5	0	0	9	0	1	0	14	5	1	0	4	1	1	0	16	3	0	0
	%	70	37	0	0	75	25	0	0	45	0	5	0	70	25	5	0	20	5	5	0	80	15	0	0
PA	n	13	5	1	0	11	7	1	0	9	3	0	0	13	5	1	0	3	1	1	0	13	4	1	0
	%	65	25	5	0	55	35	5	0	45	15	0	0	65	25	5	0	15	5	5	0	65	20	5	0
Not rated*	n	1				1				18				1				29				3
	%	2.5				2.5				45				2.5				73				7.5
Total	n	27	11	1	0	26	12	1	0	18	3	1	0	27	10	2	0	7	2	2	0	29	7	1	0
	%	68	28	3	0	65	30	3	0	45	8	3	0	66	25	5	0	18	5	5	0	73	18	3	0
Agreement (Fleiss kappa, combined)		0.01				0.15				0.26				0.15				−0.03				0.30
Agreement (Fleiss kappa, per response)		0.04	−0.02	−0.04	n/a	0.17	0.12	0.15	n/a	0.29	0.11	0.33	n/a	0.24	0.01	0.14	n/a	−0.00	0.11	0.08	n/a	0.36	0.20	0.28	n/a

*Missing rating or rated as ‘not applicable’ if no request for radiography was made or no advice given.

FY2, foundation year two; PA, physician associates.