View in EDS HTML Full Text PDF Full Text

The failure to fail underperforming trainees in health professions education: A BEME systematic review: BEME Guide No. 42.

Saved in:
Bibliographic Details
Title: The failure to fail underperforming trainees in health professions education: A BEME systematic review: BEME Guide No. 42.
Authors: Yepes-Rios, Monica1 (AUTHOR) ana.yepes-rios@usuhs.edu, Dudek, Nancy2 (AUTHOR), Duboyce, Rita1 (AUTHOR), Curtis, Jerri1 (AUTHOR), Allard, Rhonda J.1 (AUTHOR), Varpio, Lara1 (AUTHOR)
Source: Medical Teacher. Nov2016, Vol. 38 Issue 11, p1092-1099. 8p.
Subject Terms: *Corporate culture, *Dental education, *Medical school faculty, *Medical education, *Nursing education, *Remedial teaching, *School failure, *College teacher attitudes, CINAHL database, Medical information storage & retrieval systems, Study & teaching of medicine, MEDLINE, Research funding, Responsibility, Systematic reviews
Abstract: Background:Many clinical educators feel unprepared and/or unwilling to report unsatisfactory trainee performance. This systematic review consolidates knowledge from medical, nursing, and dental literature on the experiences and perceptions of evaluators or assessors with this failure to fail phenomenon. Methods:We searched the English language literature in CINAHL, EMBASE, and MEDLINE from January 2005 to January 2015. Qualitative and quantitative studies were included. Following our review protocol, registered with BEME, reviewers worked in pairs to identify relevant articles. The investigators participated in thematic analysis of the qualitative data reported in these studies. Through several cycles of analysis, discussion and reflection, the team identified the barriers and enablers to failing a trainee. Results:From 5330 articles, we included 28 publications in the review. The barriers identified were (1) assessor’s professional considerations, (2) assessor’s personal considerations, (3) trainee related considerations, (4) unsatisfactory evaluator development and evaluation tools, (5) institutional culture and (6) consideration of available remediation for the trainee. The enablers identified were: (1) duty to patients, to society, and to the profession, (2) institutional support such as backing a failing evaluation, support from colleagues, evaluator development, and strong assessment systems, and (3) opportunities for students after failing. Discussion/conclusions:The inhibiting and enabling factors to failing an underperforming trainee were common across the professions included in this study, across the 10 years of data, and across the educational continuum. We suggest that these results can inform efforts aimed at addressing the failure to fail problem. [ABSTRACT FROM PUBLISHER]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: ehh
DbLabel: Education Research Complete
An: 119209397
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The failure to fail underperforming trainees in health professions education: A BEME systematic review: BEME Guide No. 42.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Yepes-Rios%2C+Monica%22">Yepes-Rios, Monica</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> ana.yepes-rios@usuhs.edu</i><br /><searchLink fieldCode="AR" term="%22Dudek%2C+Nancy%22">Dudek, Nancy</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Duboyce%2C+Rita%22">Duboyce, Rita</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Curtis%2C+Jerri%22">Curtis, Jerri</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Allard%2C+Rhonda+J%2E%22">Allard, Rhonda J.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Varpio%2C+Lara%22">Varpio, Lara</searchLink><relatesTo>1</relatesTo> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Nov2016, Vol. 38 Issue 11, p1092-1099. 8p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Corporate+culture%22">Corporate culture</searchLink><br />*<searchLink fieldCode="DE" term="%22Dental+education%22">Dental education</searchLink><br />*<searchLink fieldCode="DE" term="%22Medical+school+faculty%22">Medical school faculty</searchLink><br />*<searchLink fieldCode="DE" term="%22Medical+education%22">Medical education</searchLink><br />*<searchLink fieldCode="DE" term="%22Nursing+education%22">Nursing education</searchLink><br />*<searchLink fieldCode="DE" term="%22Remedial+teaching%22">Remedial teaching</searchLink><br />*<searchLink fieldCode="DE" term="%22School+failure%22">School failure</searchLink><br />*<searchLink fieldCode="DE" term="%22College+teacher+attitudes%22">College teacher attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Study+%26+teaching+of+medicine%22">Study & teaching of medicine</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Responsibility%22">Responsibility</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background:Many clinical educators feel unprepared and/or unwilling to report unsatisfactory trainee performance. This systematic review consolidates knowledge from medical, nursing, and dental literature on the experiences and perceptions of evaluators or assessors with this failure to fail phenomenon. Methods:We searched the English language literature in CINAHL, EMBASE, and MEDLINE from January 2005 to January 2015. Qualitative and quantitative studies were included. Following our review protocol, registered with BEME, reviewers worked in pairs to identify relevant articles. The investigators participated in thematic analysis of the qualitative data reported in these studies. Through several cycles of analysis, discussion and reflection, the team identified the barriers and enablers to failing a trainee. Results:From 5330 articles, we included 28 publications in the review. The barriers identified were (1) assessor’s professional considerations, (2) assessor’s personal considerations, (3) trainee related considerations, (4) unsatisfactory evaluator development and evaluation tools, (5) institutional culture and (6) consideration of available remediation for the trainee. The enablers identified were: (1) duty to patients, to society, and to the profession, (2) institutional support such as backing a failing evaluation, support from colleagues, evaluator development, and strong assessment systems, and (3) opportunities for students after failing. Discussion/conclusions:The inhibiting and enabling factors to failing an underperforming trainee were common across the professions included in this study, across the 10 years of data, and across the educational continuum. We suggest that these results can inform efforts aimed at addressing the failure to fail problem. [ABSTRACT FROM PUBLISHER]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=119209397
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/0142159X.2016.1215414
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1092
    Subjects:
      – SubjectFull: Corporate culture
        Type: general
      – SubjectFull: Dental education
        Type: general
      – SubjectFull: Medical school faculty
        Type: general
      – SubjectFull: Medical education
        Type: general
      – SubjectFull: Nursing education
        Type: general
      – SubjectFull: Remedial teaching
        Type: general
      – SubjectFull: School failure
        Type: general
      – SubjectFull: College teacher attitudes
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Study & teaching of medicine
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Responsibility
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
    Titles:
      – TitleFull: The failure to fail underperforming trainees in health professions education: A BEME systematic review: BEME Guide No. 42.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Yepes-Rios, Monica
      – PersonEntity:
          Name:
            NameFull: Dudek, Nancy
      – PersonEntity:
          Name:
            NameFull: Duboyce, Rita
      – PersonEntity:
          Name:
            NameFull: Curtis, Jerri
      – PersonEntity:
          Name:
            NameFull: Allard, Rhonda J.
      – PersonEntity:
          Name:
            NameFull: Varpio, Lara
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 11
              Text: Nov2016
              Type: published
              Y: 2016
          Identifiers:
            – Type: issn-print
              Value: 0142159X
          Numbering:
            – Type: volume
              Value: 38
            – Type: issue
              Value: 11
          Titles:
            – TitleFull: Medical Teacher
              Type: main
ResultId 1