Jannicke Igland, Rachel Forster, Anne Karen Jenum, Ragnhild B Strandberg, Tore Julsrud Berg, Jan Ivar Røssberg, Marjolein Memelink Iversen, Esben Selmer Buhl
How valid is a prescription-based multimorbidity index (Rx-risk) in predicting mortality in the Outcomes and Multimorbidity In Type 2 diabetes (OMIT) study? A nation-wide registry-based cohort study from Norway
BMJ open
accurate selfassessment crucial professional development physicians sparse data accuracy selfassessments anesthesiology milestones aim study investigate differences resident selfassessments facultyassessments anesthesiology milestones associated factors crosssectional study conducted general tertiary universityaffiliated hospital included anesthesia residents enrolled standardized residency training program postgraduate year two three time milestone evaluation requested evaluations competencies clinical competency committee faculty anesthesia residents utilizing chinese version anesthesiology milestones january 2023 january 2024 primary outcome differences self facultyassessments calculated subtracting facultyrated score selfrated score subcompetency total 46 42 residents evaluated year 2023 2024 respectively selfrated sum score significantly higher rated faculty mean standardized deviation 12039 3241 vs 11444 2371 p 0008 paired test intraclass correlation coefficient 055 95 confidence interval ci 031 070 blandaltman plots revealed significant overestimation patient care bias 032 95 ci 005 060 practicebased learning improvement bias 045 95 ci 007 084 professionalism bias 037 95 ci 002 072 ratings residents masters degrees mean difference 106 95 ci 180 032 p 0005 doctorate degrees mean difference 114 95 ci 191 038 p 0003 closer facultyassessments residents bachelors degrees compared patient care differences self faculty rated scores smaller medical knowledge mean difference 018 95 ci 035 002 p 0031 interpersonal communication skills mean difference 041 95 ci 064 019 p 0001 generalized estimating equation logistic regression model study revealed residents tended overestimate emphasizing need improve accuracy milestones selfassessment differences self facultyassessments associated residents degrees domains competency