• Verity Schaye, Louis Miller, David Kudlowitz, Jonathan Chun, Jesse Burk-Rafel, Patrick Cocks, Benedict Guzman, Yindalon Aphinyanaphongs, and Marina Marin.
• NYU Grossman School of Medicine, New York, NY, USA. Verity.Schaye@nyulangone.org.
• J Gen Intern Med. 2022 Feb 1; 37 (3): 507512507-512.

BackgroundResidents and fellows receive little feedback on their clinical reasoning documentation. Barriers include lack of a shared mental model and variability in the reliability and validity of existing assessment tools. Of the existing tools, the IDEA assessment tool includes a robust assessment of clinical reasoning documentation focusing on four elements (interpretive summary, differential diagnosis, explanation of reasoning for lead and alternative diagnoses) but lacks descriptive anchors threatening its reliability.ObjectiveOur goal was to develop a valid and reliable assessment tool for clinical reasoning documentation building off the IDEA assessment tool.Design, Participants, And Main MeasuresThe Revised-IDEA assessment tool was developed by four clinician educators through iterative review of admission notes written by medicine residents and fellows and subsequently piloted with additional faculty to ensure response process validity. A random sample of 252 notes from July 2014 to June 2017 written by 30 trainees across several chief complaints was rated. Three raters rated 20% of the notes to demonstrate internal structure validity. A quality cut-off score was determined using Hofstee standard setting.Key ResultsThe Revised-IDEA assessment tool includes the same four domains as the IDEA assessment tool with more detailed descriptive prompts, new Likert scale anchors, and a score range of 0-10. Intraclass correlation was high for the notes rated by three raters, 0.84 (95% CI 0.74-0.90). Scores ≥6 were determined to demonstrate high-quality clinical reasoning documentation. Only 53% of notes (134/252) were high-quality.ConclusionsThe Revised-IDEA assessment tool is reliable and easy to use for feedback on clinical reasoning documentation in resident and fellow admission notes with descriptive anchors that facilitate a shared mental model for feedback.© 2021. Society of General Internal Medicine.

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