TY - JOUR
T1 - The impact of resident- and self-evaluations on surgeon's subsequent teaching performance
AU - Boerebach, Benjamin C. M.
AU - Arah, Onyebuchi A.
AU - Heineman, Maas Jan
AU - Busch, Olivier R. C.
AU - Lombarts, Kiki M. J. M. H.
PY - 2014
Y1 - 2014
N2 - This study evaluates how residents' evaluations and self-evaluations of surgeon's teaching performance evolve after two cycles of evaluation, reporting, and feedback. Furthermore, the influence of over- and underestimating own performance on subsequent teaching performance was investigated. In a multicenter cohort study, 351 surgeons evaluated themselves and were also evaluated by residents during annual evaluation periods for three subsequent years. At the end of each evaluation period, surgeons received a personal report summarizing the residents' feedback. Changes in each surgeon's teaching performance evaluated on a five-point scale were studied using growth models. The effect of surgeons over- or underestimating their own performance on the improvement of teaching performance was studied using adjusted multivariable regressions. Compared with the first (median score: 3.83, 20th to 80th percentile score: 3.46-4.16) and second (median: 3.82, 20th to 80th: 3.46-4.14) evaluation period, residents evaluated surgeon's teaching performance higher during the third evaluation period (median: 3.91, 20th to 80th: 3.59-4.27), p < 0.001. Surgeons did not alter self-evaluation scores over the three periods. Surgeons who overestimated their teaching performance received lower subsequent performance scores by residents (regression coefficient b: -0.08, 95 % confidence limits (CL): -0.18, 0.02) and self (b: -0.12, 95 % CL: -0.21, -0.02). Surgeons who underestimated their performance subsequently scored themselves higher (b: 0.10, 95 % CL: 0.03, 0.16), but were evaluated equally by residents. Residents' evaluation of surgeon's teaching performance was enhanced after two cycles of evaluation, reporting, and feedback. Overestimating own teaching performance could impede subsequent performance
AB - This study evaluates how residents' evaluations and self-evaluations of surgeon's teaching performance evolve after two cycles of evaluation, reporting, and feedback. Furthermore, the influence of over- and underestimating own performance on subsequent teaching performance was investigated. In a multicenter cohort study, 351 surgeons evaluated themselves and were also evaluated by residents during annual evaluation periods for three subsequent years. At the end of each evaluation period, surgeons received a personal report summarizing the residents' feedback. Changes in each surgeon's teaching performance evaluated on a five-point scale were studied using growth models. The effect of surgeons over- or underestimating their own performance on the improvement of teaching performance was studied using adjusted multivariable regressions. Compared with the first (median score: 3.83, 20th to 80th percentile score: 3.46-4.16) and second (median: 3.82, 20th to 80th: 3.46-4.14) evaluation period, residents evaluated surgeon's teaching performance higher during the third evaluation period (median: 3.91, 20th to 80th: 3.59-4.27), p < 0.001. Surgeons did not alter self-evaluation scores over the three periods. Surgeons who overestimated their teaching performance received lower subsequent performance scores by residents (regression coefficient b: -0.08, 95 % confidence limits (CL): -0.18, 0.02) and self (b: -0.12, 95 % CL: -0.21, -0.02). Surgeons who underestimated their performance subsequently scored themselves higher (b: 0.10, 95 % CL: 0.03, 0.16), but were evaluated equally by residents. Residents' evaluation of surgeon's teaching performance was enhanced after two cycles of evaluation, reporting, and feedback. Overestimating own teaching performance could impede subsequent performance
U2 - https://doi.org/10.1007/s00268-014-2655-3
DO - https://doi.org/10.1007/s00268-014-2655-3
M3 - Article
C2 - 24867473
SN - 0364-2313
VL - 38
SP - 2761
EP - 2769
JO - World journal of surgery
JF - World journal of surgery
IS - 11
ER -