Evaluation of attitudes in resident training :

Discrepancy between instructing physicians and nurses

Abstract

  We performed a comparative analysis of 98 residents trained in our hospital from April 2003 through March 2012. Assessments of residents performed with interviews and a written test at entry to the training course showed a good correlation（r＝0.4 ; p＜0.005）with the final assessments performed by instructing physicians when the 2–year training course had ended. In contrast, the directing nurses’ summative evaluations were not correlated with entry assessments（r＝0.071 ; p＝0.485）. Evaluation of the attitudes of residents by nurses differed considerably from that by physicians. The physicians seemed to have successfully performed the entry examination using good selection criteria, such that residents with superior evaluations at entry achieved excellent results at the end of training; in contrast, the evaluation by nurses was not so straightforward.
  The physicians tended to assess residents’ attitudes from the viewpoint of performing practices, whereas the nurses evaluated residents mainly from the standpoint of receiving practices; therefore, differences in the assessment scores between physicians and nurses were understandable. Considering this difference and the results of this study, we suggest that the residents’ attitudes in light of professionalism should be evaluated from multiple directions, from both the “giving” and “receiving” vectors.