Intern underperformance is detected more frequently in emergency medicine rotations

Narelle Aram, Victoria Brazil, Lorna Davin, Jaimi H. Greenslade

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Abstract

Objective: To determine the frequency and nature of intern underperformance as documented on in-training assessment forms. Methods: A retrospective review of intern assessment forms from a 2 year period (2009-2010) was conducted at a tertiary referral hospital in Brisbane, Queensland. The frequency of interns assessed as 'requiring substantial assistance' and/or 'requires further development' on mid- or end-of-term assessment forms was determined. Forms were analysed by the clinical rotation, time of year and domain(s) of clinical practice in which underperformance was documented. Results: During 2009 and 2010 the overall documented incidence of intern underperformance was 2.4% (95% CI 1.5-3.9%). Clinical rotation in emergency medicine detected significantly more underperformance compared with other rotations (P<0.01). Interns predominantly had difficulty with 'clinical judgment and decision-making skills', 'time management skills' and 'teamwork and colleagues' (62.5%, 55% and 32.5% of underperforming assessments, respectively). Time of the year did not affect frequency of underperformance. A proportion of 13.4% (95% CI 9.2-19.0%) of interns working at the institution over the study period received at least one assessment in which underperformance was documented. Seventy-six per cent of those interns who had underperformance identified by mid-term assessment successfully completed the term following remediation. Conclusion: The prevalence of underperformance among interns is low, although higher than previously suggested. Emergency medicine detects relatively more interns in difficulty than other rotations.

Original languageEnglish
Pages (from-to)68-74
Number of pages7
JournalEMA - Emergency Medicine Australasia
Volume25
Issue number1
DOIs
Publication statusPublished - Feb 2013

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Emergency Medicine
Time Management
Queensland
Tertiary Care Centers
Incidence

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Aram, Narelle ; Brazil, Victoria ; Davin, Lorna ; Greenslade, Jaimi H. / Intern underperformance is detected more frequently in emergency medicine rotations. In: EMA - Emergency Medicine Australasia. 2013 ; Vol. 25, No. 1. pp. 68-74.
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abstract = "Objective: To determine the frequency and nature of intern underperformance as documented on in-training assessment forms. Methods: A retrospective review of intern assessment forms from a 2 year period (2009-2010) was conducted at a tertiary referral hospital in Brisbane, Queensland. The frequency of interns assessed as 'requiring substantial assistance' and/or 'requires further development' on mid- or end-of-term assessment forms was determined. Forms were analysed by the clinical rotation, time of year and domain(s) of clinical practice in which underperformance was documented. Results: During 2009 and 2010 the overall documented incidence of intern underperformance was 2.4{\%} (95{\%} CI 1.5-3.9{\%}). Clinical rotation in emergency medicine detected significantly more underperformance compared with other rotations (P<0.01). Interns predominantly had difficulty with 'clinical judgment and decision-making skills', 'time management skills' and 'teamwork and colleagues' (62.5{\%}, 55{\%} and 32.5{\%} of underperforming assessments, respectively). Time of the year did not affect frequency of underperformance. A proportion of 13.4{\%} (95{\%} CI 9.2-19.0{\%}) of interns working at the institution over the study period received at least one assessment in which underperformance was documented. Seventy-six per cent of those interns who had underperformance identified by mid-term assessment successfully completed the term following remediation. Conclusion: The prevalence of underperformance among interns is low, although higher than previously suggested. Emergency medicine detects relatively more interns in difficulty than other rotations.",
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Intern underperformance is detected more frequently in emergency medicine rotations. / Aram, Narelle; Brazil, Victoria; Davin, Lorna; Greenslade, Jaimi H.

In: EMA - Emergency Medicine Australasia, Vol. 25, No. 1, 02.2013, p. 68-74.

Research output: Contribution to journalArticleResearchpeer-review

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