Edith P. Allen,Phoenix Children's Hospital,Phoenix,AZ
BACKGROUND: Written narratives are a critical component of a medical student’s evaluation. However, they can be challenging to write, especially when there is limited time spent with the student. These comments are also part of the formative as well as the summative evaluation, so they need to be meaningful for the medical student.
OBJECTIVE: Implementation of a PRIME + feedback tool to help gather meaningful comments about student’s performance based on their skills using the Report-Interpret-Manage-Educate paradigm, as well as to capture their professional attributes.
PROJECT DESCRIPTION: the PRIME + feedback tool was adapted from Pediatrics 2014; 133:766-68. Before the start of the academic year, the feedback tool was e-mailed to all the faculty and residents involved in student education. The students were introduced to the form during orientation. They were instructed to have at least one form completed weekly by their supervising resident or Faculty member and to submit it to the student coordinator. The student coordinator created a file for each student.
RESULTS: the information collected was used during mid-rotation formative feedback sessions as well as for the completion of final evaluations.
DISCUSSION: the PRIME + feedback form provided the Clerkship Director with the necessary information to: 1) Identify within the group those students who were the top 25% performers, allowing a better identification of Clinical Honors-performing students, which previously had been >40% of the class. 2) Have a clear idea on how the student is performing, with better identification of the students’ areas of strength and weakness. 3) Since the sub-Interns come from different medical schools and have different evaluation forms, provided the Elective Director with the necessary information to up to certain degree compare the students’ performance and grade students more accurately and fairly.
CONCLUSSION: the PRIME + feedback form was well accepted by students, residents and Faculty, and facilitated the role of the Clerkship/Elective Director for both summative and formative evaluations.