Comparison of Two Methods Used for Final Internship Evaluation at St. Marianna University Hospital

抄録

During the first stage of clinical internship at St. Marianna University Hospital, we believe that it is important to conscientiously consider the “process of reflection” and consolidate the growth trajectory and outcomes. This led to the introduction of portfolios in 2003 that considers the medical interns and their instruction to be a single unit, allows them to establish objectives, and facilitates their reflection of their own behavior. Our subjects were 43 interns who started the internship program at St. Marianna University Hospital in 2012 and underwent the Final Internship Evaluation after completing the first stage of internship in March 2014. The new Final Internship Evaluation criteria (rubric) included six evaluation perspectives. An evaluation scale was created to grade each question on a scale of 1 to 5. In addition, the valuation was also performed using the conventional method, which included 15 criteria, to investigate correlation between the portfolio evaluation method and the conventional evaluation method. Five points could be scored in total for a single item, thus allowing interns to attain a total score of 75 points. The mean evaluation score given by the two instructors using the new evaluation method was 4.4 points, whereas that given using the conventional method was 57.1 points. The performance rankings obtained with the old and new evaluation methods were similar, and a positive correlation was observed between the two (correlation coefficient: 0.69). The grades awarded after using the new and old evaluation methods were similar even though the evaluation perspectives in these two methods differed, so it would be desirable to perform an evaluation that combines elements of both methods.