Resident Supervision Index: Assessing Feasibility and Validity

NCT00680368 | Completed Results

• 1 other identifier: SHP 08-164
• Study Type: observational
• Target: 97
• Locations: 1 country
• Sites: 1

Brief Summary

OBJECTIVES: To develop, assess feasibility, and test the validity of the Resident Supervision Index (RSI), a survey tool for medical residents designed to measure quantitatively the level of supervision the resident received while caring for an outpatient during a patient care encounter. RESEARCH DESIGN: This is a prospective trial assessing the Residency Supervision Index (Index) applied to outpatient care encounters for content validity, test-retest reliability, and construct validity.

Conditions

Healthy

Keywords

Feasibility; Supervision; Assessing

Outcome Measures

Primary Outcomes (1)

• Intraclass Correlation Coefficient Between Physician Resident and Attending Physician.

  Describes agreement between physician resident and attending physician assessment of total resident supervision time for a given patient and patient care clinical encounter.

  24-hours

Secondary Outcomes (2)

• Intraclass Correlation Coefficient Assessing Test-retest Reliability for Resident Physicians

  24 hours

• Intraclass Correlation Coefficient for Test-retest Reliability for Attending Physicians

  24 hours

Study Arms (1)

Residents and Attending Physicians

This group contains the residents and the attending physicians who consented to participate in the study. They participated in a survey administered by a research assistant. Both physician resident and attending physicians were administered the survey twice within 24-hours and their test-retest responses were compared for reliability. Responses to attending and resident physicians covering the care for the patient and clinical care encounter were compared for accuracy.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Residents

You may qualify if:

• Males and females
• Ages 18 and older

You may not qualify if:

• None

Sponsors & Collaborators

• US Department of Veterans Affairs: lead

Study Sites (1)

VA Loma Linda Healthcare System, Loma Linda, CA

Loma Linda, California, 92357, United States

Location

Related Publications (5)

• Cannon GW, Keitz SA, Holland GJ, Chang BK, Byrne JM, Tomolo A, Aron DC, Wicker AB, Kashner TM. Factors determining medical students' and residents' satisfaction during VA-based training: findings from the VA Learners' Perceptions Survey. Acad Med. 2008 Jun;83(6):611-20. doi: 10.1097/ACM.0b013e3181722e97.

  PMID: 18520472 BACKGROUND

• Kashner TM, Henley SS, Golden RM, Byrne JM, Keitz SA, Cannon GW, Chang BK, Holland GJ, Aron DC, Muchmore EA, Wicker A, White H. Studying the effects of ACGME duty hours limits on resident satisfaction: results from VA learners' perceptions survey. Acad Med. 2010 Jul;85(7):1130-9. doi: 10.1097/ACM.0b013e3181e1d7e3.

  PMID: 20592508 BACKGROUND

• Byrne JM, Kashner M, Gilman SC, Aron DC, Cannon GW, Chang BK, Godleski L, Golden RM, Henley SS, Holland GJ, Kaminetzky CP, Keitz SA, Kirsh S, Muchmore EA, Wicker AB. Measuring the intensity of resident supervision in the department of veterans affairs: the resident supervision index. Acad Med. 2010 Jul;85(7):1171-81. doi: 10.1097/ACM.0b013e3181d5a954.

  PMID: 20305532 RESULT

• Kashner TM, Byrne JM, Henley SS, Golden RM, Aron DC, Cannon GW, Chang BK, Gilman SC, Holland GJ, Kaminetzky CP, Keitz SA, Muchmore EA, Kashner TK, Wicker AB. Measuring progressive independence with the resident supervision index: theoretical approach. J Grad Med Educ. 2010 Mar;2(1):8-16. doi: 10.4300/JGME-D-09-00083.1.

  PMID: 21975879 RESULT

• Kashner TM, Byrne JM, Chang BK, Henley SS, Golden RM, Aron DC, Cannon GW, Gilman SC, Holland GJ, Kaminetzky CP, Keitz SA, Muchmore EA, Kashner TK, Wicker AB. Measuring progressive independence with the resident supervision index: empirical approach. J Grad Med Educ. 2010 Mar;2(1):17-30. doi: 10.4300/1949-8357-2.1.17.

  PMID: 21975880 RESULT

Biospecimen

Retention: NONE RETAINED

The study did not involve a biospecimen. None was collected. None was retained.

Limitations and Caveats

Single site study limiting generalizability of findings

Results Point of Contact

• Title: T. Michael Kashner, PhD, PI
• Organization: Loma Linda VA Healthcare System

michael.kashner@va.gov

909 825-7084

Study Officials

• Terrell Michael Kashner, PhD JD MPH

  VA Loma Linda Healthcare System, Loma Linda, CA

  PRINCIPAL INVESTIGATOR

• Dale S. Cannon, PhD

  VA Salt Lake City Health Care System, Salt Lake City, UT

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 16, 2008
• First Posted: May 20, 2008
• Study Start: March 1, 2008
• Primary Completion: December 1, 2008
• Study Completion: December 1, 2008
• Last Updated: April 28, 2015
• Results First Posted: December 16, 2014

Record last verified: 2014-08

Locations

US (1)