From: Pre-clerkship EPA assessments: a thematic analysis of rater cognition
No Longitudinal Relationship (N = 9) | Longitudinal Relationship (N = 9) | |||
---|---|---|---|---|
Number of references (N = 407) | Number of transcripts the theme/subtheme appeared in (N = 9) | Number of references (N = 357) | Number of transcripts the theme/subtheme appeared in (N = 9) | |
Student Performance | 275 (68%) | 9 (100%) | 229 (64%) | 9 (100%) |
Student behavior | 198 (49%) | 9 (100%) | 164 (46%) | 9 (100%) |
Inferred clinical reasoning | 57 (14%) | 9 (100%) | 43 (12%) | 8 (89%) |
Patient rapport | 20 (4%) | 5 (56%) | 22 (6%) | 6 (67%) |
Frame of Reference | 56 (14%) | 7 (78%) | 67 (19%) | 9 (100%) |
Future training needs | 20 (5%) | 4 (44%) | 20 (6%) | 6 (67%) |
Assessor preference / “self” | 16 (4%) | 6 (67%) | 4 (1%) | 3 (33%) |
Affective response | 6 (1%) | 4 (44%) | 14 (4%) | 7 (78%) |
Phase of training | 6 (1%) | 5 (56%) | 11 (3%) | 7 (78%) |
Previous exposure to the same student | 0 (0%) | 0 (0%) | 13 (4%) | 6 (67%) |
Comparison with another student’s performance | 5 (1%) | 2 (22%) | 2 (1%) | 1 (11%) |
The curriculum | 3 (1%) | 2 (22%) | 3 (1%) | 2 (22%) |
Assessor Uncertainty | 55 (14%) | 8 (89%) | 33 (9%) | 7 (78%) |
Assessor confidence in their ability to assess | 27 (7%) | 7 (78%) | 13 (4%) | 4 (44%) |
Compromised information | 16 (4%) | 6 (67%) | 11 (3%) | 7 (78%) |
Insufficient Number of Assessments | 12 (3%) | 5 (56%) | 9 (3%) | 3 (33%) |
The Patient | 21 (5%) | 8 (89%) | 28 (8%) | 8 (89%) |
Patient safety | 8 (2%) | 6 (67%) | 14 (4%) | 6 (67%) |
Patient characteristics | 13 (3%) | 5 (56%) | 14 (4%) | 6 (67%) |