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Table 1 Core items in the Mayo Cardiology Fellows’ Assessment (MCFA-10) with description and sources of content evidence

From: Validity of a cardiology fellow performance assessment: reliability and associations with standardized examinations and awards

Item Description Sources of content evidence Categories of validity evidence for the referenced sources
Accuracy and completeness of gathered information Obtains thorough and appropriately comprehensive data from the history, physical exam, and medical record Similar item demonstrated excellent internal structure reliability [17]; appropriate and effective patient care is a component of core ACGME patient care competency [20] Internal structure, content
Interpretation of patient data effectively Synthesizes patient’s history, physical exam, laboratory data, and differential diagnoses Similar item demonstrated excellent internal structure reliability [17]; appropriate and effective patient care is a component of core ACGME patient care competency [20] Internal structure, content
Selection of appropriate diagnostic tests Utilizes appropriate, cost effective, and evidence-based diagnostic testing Similar item demonstrated excellent internal structure reliability [17]; appropriate and effective patient care is a component of core ACGME patient care competency [20] Internal structure, content
Formulation of an effective plan and patient management strategy Interprets test results accurately; demonstrates good clinical judgment Similar item demonstrated excellent internal structure reliability [17]; appropriate and effective patient care is a component of core ACGME patient care competency [20] Internal structure, content
Effective and concise case presentations Clearly articulates the salient aspects of cases with both written and verbal communication Similar item demonstrated excellent internal structure reliability [17]; effective exchange of information is a component of core ACGME interpersonal and communication skills competency [20] Internal structure, content
Efficiency of patient work-ups Prioritizes and conducts patient evaluations in a timely manner Prior studies have identified the value of efficiency in clinical teaching [21]; efficient patient care is a component of core ACGME patient care competency [20] Content
Quality of dismissal letter Completes accurate, concise, and responsive documentation to referring providers Item felt to be important given nature of Mayo Clinic referral practice and communication with external providers Content
Professionalism Accepts responsibility; demonstrates empathy, honesty, initiative, and integrity; practices mutual respect; places needs of patient first Similar to component of validated assessment of professionalism [9, 10] Content, relations to other variables
Commitment to own education Attends conferences; completes required readings; practices self-directed learning Similar to component of validated assessment of professionalism [9, 10] Content, relations to other variables
Systems based practice Practices cost-effective care; references clinical guidelines; leverages system resources for the benefit of patients ACGME requires assessment of competency in systems based practice [22] Content
  1. Abbreviations: ACGME Accreditation Council for Graduate Medical Education