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Letters with the RAES in identifying trainees who demonstrate inad- analysis to undertake when data are available. eTable 7 in the equate professionalism. First, what was the trajectory of supplemental content of the article provides results for the sec- scores in subsequent years among trainees with low scores ond analysis proposed by Monach, a comparison of postgradu- on professionalism during the first year? Second, did the ate year-3 milestone ratings for professionalism to ratings using third-year trainees who scored poorly on milestones for pro- the RAES. This Table shows that 47 third-year residents who fessionalism have similar assessment by the RAES? The were rated low (below 2, signaling concerning professional be- assessments should be highly correlated. If milestones pro- havior) in professionalism using the milestones had RAES duced more low scores in year 3 than the RAES, then exami- ratings that ranged from 1 to 3 (unsatisfactory for 3 residents) nation of the 4 subcompetencies comprising the profession- to 7 to 9 (superior for 13 residents). We believe that the greater alism competency might indicate whether milestones are granularity of the milestones, with 4 professionalism subcom- indeed capturing more information. petencies compared with a single RAES rating for profession-
JAMA – American Medical Association
Published: Mar 28, 2017
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