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Abstract
In an attempt to develop a model to measure the competence of physicians providing
emergency care under difficult field conditions, 75 Israeli army medical corps physicians
were evaluated through the use of four instruments: a debriefing interview, peer assessment,
selfassessment and written examination. The special on-site assessment model was designed
to examine actual events, enabling an assessment of performance in real situations
rather than simulated cases. Significant positive correlations were found between
the results of the written examination and the peer evaluation on two of four measures
(r = 0.36, P = 0.001; r = 0.23, P = 0.05) as well as on the two measures regarding self-evaluation and peer evaluation
(r = 0.54, P = 0.001; r = 0.38, P = 0.05). It was found that those physicians who were trained in the army's medical
officer course scored significantly higher on the written examination (P = 0.001) and were rated more highly by their senior peers (P = 0.048) than those who did not receive such training. It was concluded that it is
advantageous to use a combination of knowledge (written examination) and performance
(peer assessment or self-assessment) measures in order to arrive at a more comprehensive
assessment of competence. In addition, the written examination format should be expanded
and developed to include more clinical vignettes requiring treatment decisions, making
this instrument a more clinically oriented measure of physician competence in trauma
care.
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Article info
Publication history
Received:
April 19,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.