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 |