Samuel T Savitz, Alanna M Chamberlain, Shannon Dunlay, Sheila M Manemann, Susan A Weston, Shaheen Kurani, Véronique L Roger
Co-Occurrence of Social Risk Factors and Associated Outcomes in Patients With Heart Failure
Journal of the American Heart Association
accreditation council graduate medical education acgme requires residency programs complete competencybased assessments medical trainees based nationally established milestones previous research demonstrates strong correlation ccc resident scores milestones surgery little known true specialties study investigated variety specialties sought determine factors affect selfassessment milestones addition posthoc analysis completed covid19 pandemic effects selfevaluation irb approved observational study prospectively collected selfevaluation milestone data used within acgme programs clinical competency committees medical trainees within san antonio uniformed services health education consortium approached possible participation study permission program directors significant difference selfassessments cccassessments based selfidentified gender residency type surgical versus nonsurgical milestone domain within postgraduate year pgy groups pgy5 pgy6 tended rate higher ccc chiefs internal medicine pgy23 general surgery pgy56 tended accurate scoring interns pgy1 within milestone interpersonal skills communication chiefs 05 vs interns 062 p 003 post hoc analysis selfrating first wave covid 19 pandemic postcovid residents likely underrate systemsbased practice compared precovid cohort 049 vs 010 p 0007 likely rate higher professionalism 054 vs 010 p 0012 unique study institution gender difference found self vs ccc evaluations change learning environment covid also change ability learners selfassess accurately medical educators understand importance encouraging learners practice selfassessment well give feedback trainees progress also need educate faculty use milestones assessment create true gold standard ccc