• Christine Fahim, Mohit Bhandari, Ilun Yang, and Ranil Sonnadara.
• Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
• J Surg Educ. 2016 May 1; 73 (3): 409-15.

ObjectiveGrand rounds offer an excellent opportunity for the evaluation of medical expertise, and other competencies, such as communication and professionalism. The purpose of this study was to develop a tool that would facilitate the provision of formative feedback for grand rounds to improve learning. The resulting CanMEDS-based evaluation tool was piloted in an academic surgical department.DesignThis study employed the use of a 3-phase, qualitatively-focused, embedded mixed methods approach. In Phase 1, an intrinsic case study was conducted to identify preliminary themes. These findings were crystallized using a quantitative survey. Following interpretation of these data, a grand rounds evaluation tool was developed in Phase 2. The tool was piloted in the Phase 3 focus group.SettingThis study was piloted at an academic surgical center among members of the Department of Surgery, McMaster University, Ontario, Canada.ParticipantsPurposive sampling was used for this study. A total of n = 7 individuals participated in the Phase 1 interviews, and n = 24 participants completed the Phase 1 survey. Participants included a representative sample of medical students, residents, fellows, and staff. The tool was piloted among n = 19 participants.ResultsThe proposed evaluation tool contains 13 Likert-scale questions and 2 open-ended questions. The tool outlines specific questions to assess grand rounds presenters within the structure of the 7 CanMEDS competency domains. "Evaluation fatigue" was identified as a major barrier in the willingness to provide effective feedback. Further, a number of factors regarding the preferred content, structure, and format of surgical grand rounds were identified.ConclusionsThis pilot study presents a CanMEDS-specific evaluation tool that can be applied to surgical grand rounds. With the increasing adoption of competency-based medical education, comprehensive evaluation of surgical activities is required. This form provides a template for the development of competency-based evaluation tools for medical and surgical learning activities.Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

27 keywords...

hide…