Abstract
Background
Emergency Medicine (EM) clerkships traditionally assess students using numerical ratings
of clinical performance. The descriptive ratings of the Reporter, Interpreter, Manager,
and Educator (RIME) method have been shown to be valuable in other specialties.
Objectives
We hypothesized that the RIME descriptive ratings would correlate with clinical performance
and examination scores in an EM clerkship, indicating that the RIME ratings are a
valid measure of performance.
Methods
This was a prospective cohort study of an evaluation instrument for 4th-year medical students completing an EM rotation. This study received exempt Institutional
Review Board status. EM faculty and residents completed shift evaluation forms including
both numerical and RIME ratings. Students completed a final examination. Mean scores
for RIME and clinical evaluations were calculated. Linear regression models were used
to determine whether RIME ratings predicted clinical evaluation scores or final examination
scores.
Results
Four hundred thirty-nine students who completed the EM clerkship were enrolled in
the study. After excluding items with missing data, there were 2086 evaluation forms
(based on 289 students) available for analysis. There was a clear positive relationship
between RIME category and clinical evaluation score (r2=0.40, p<0.01). RIME ratings correlated most strongly with patient management skills and least
strongly with humanistic qualities. A very weak correlation was seen with RIME and
final examination.
Conclusion
We found a positive association between RIME and clinical evaluation scores, suggesting
that RIME is a valid clinical evaluation instrument. RIME descriptive ratings can
be incorporated into EM evaluation instruments and provides useful data related to
patient management skills.
Keywords
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References
- Predictive validity of the global assessment form used in a final-year undergraduate rotation in emergency medicine.Acad Emerg Med. 2002; 9: 889-895
- How well do internal medicine faculty members evaluate the clinical skills of residents?.Ann Intern Med. 1992; 117: 757-765
- Reliability of faculty clinical evaluations of non-emergency medicine residents during emergency department rotations.Acad Emerg Med. 2008; 3: 1124-1130
- Interobserver variability among faculty in evaluations of residents’ clinical skills.Acad Emerg Med. 2008; 6: 38-44
- A new vocabulary and other innovations for improving descriptive in-training evaluations.Acad Med. 1999; 74: 1203-1207
- Using formal evaluation sessions for case-based faculty development during clinical clerkships.Acad Med. 2000; 75: 1216-1221
- The association of student examination performance with faculty and resident ratings using a modified RIME process.J Gen Intern Med. 2008; 23: 1020-1023
- Assessing how well three evaluation methods detect deficiencies in medical students’ professionalism in two settings of an internal medicine clerkship.Acad Med. 2000; 75: 167-173
- The feasibility, reliability, and validity of a program director’s (supervisor’s) evaluation form for medical school graduates.Acad Med. 2005; 80: 964-968
- Can a descriptive evaluation system detect student growth during a clerkship? Using descriptive evaluation to detect student growth. Proceedings from Annual 2000 Meeting of the Clerkship Directors of Internal Medicine.Teach Learn Med. 2001; 13: 199-205
- A pilot study of a "RIME" framework-based tool for giving feedback in a multi-specialty longitudinal clerkship.Med Educ. 2008; 42: 1205-1209
- Evaluation, grading, and use of the RIME vocabulary on internal medicine clerkships: results of a national survey and comparison to other clinical clerkships.Teach Learn Med. 2008; 20: 118-126
- Common program requirements: general competencies.(Available at:) (Accessed April 21, 2010)
- Global descriptive evaluations are more responsive than global numeric ratings in detecting students’ progress during the inpatient portion of an internal medicine clerkship.Acad Med. 2001; 76: S105-S107
- The R-I-M-E method for evaluation of medical students on an obstetrics and gynecology clerkship.Am J Obstet Gynecol. 2003; 189: 666-669
Article info
Publication history
Published online: September 26, 2011
Accepted:
May 28,
2011
Received in revised form:
January 5,
2011
Received:
October 27,
2010
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
