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Summative supervisor reporting: a quality performance perspective

Hopkins, Luke, Robinson, David BT, Brown, Christopher, Abdelrahman, Tarig, Powell, Arfon GMT, Pollitt, M John, Hemington-Gorse, Sarah, Lewis, Wyn G and Egan, Richard J 2020. Summative supervisor reporting: a quality performance perspective. Journal of Surgical Education 77 (1) , pp. 88-95. 10.1016/j.jsurg.2019.08.021
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Abstract

Objective This study aimed to quality assure Assigned Educational Supervisor (AES) reports, using UK Joint Committee on Surgical Training objective criteria, to evaluate contribution to Annual Review of Competence Progression. Design Consecutive 145 AES reports from 75 trainers regarding 68 Core Surgical Trainees were assessed from 9 hospitals (2 Tertiary centers [77 reports], 7 District General Hospitals [68 reports]). Reports were assessed by independent assessors based on free text related to performance mapped to curricular objectives, operative logbooks, and Clinical Supervisor reports, and overall summary grades assigned ranging from development required, adequate, good to excellent. Setting A core surgical training program serving a single UK (Wales) deanery. Participants Sixty-eight consecutively appointed core surgical trainees and 75 consultant surgeon trainers. Results Summary grades of adequate or above were achieved in 101 of 145 (69.7%) reports. Trainees’ objective setting meetings were completed within 6 weeks of starting placements in 124 of 145 (85.5%). The proportions of AES reports containing free text commentary on curricular objectives, portfolio objectives, and operative logbook development were 128 of 145, 123 of 145, and 55 of 145, respectively. AES report quality was not associated with hospital status, subspecialty, or trainee grade. Female trainers were significantly more likely to provide reports graded as Good or Excellent compared with their male colleagues (7 of 12 vs. 27 of 133, χ2 (2) = 9.389, p = 0.009). AES reports for male trainees were significantly more likely to be rated as further development required (40 of 85, 47.1%) when compared with female trainees (4 of 32, 12.5%, p = 0.007). Conclusions Three in ten AES reports were insufficient to contribute to objective Annual Review of Competence Progression outcomes and a gender gap was apparent related to engagement. AES trainers should provide more focus if this summative tool is to be an effective career progression metric.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 1931-7204
Date of First Compliant Deposit: 13 September 2019
Date of Acceptance: 31 August 2019
Last Modified: 14 Mar 2020 18:28
URI: http://orca-mwe.cf.ac.uk/id/eprint/125432

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