Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme

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Creator
  • Folk, Destiny
    • Other Affiliation: Carolinas Medical Center
  • Ryckeley, Christian
    • Other Affiliation: Aventura Hospital and Medical Center
  • Nguyen, Michelle
    • Other Affiliation: University of Texas San Antonio
  • Essig, Jeremiah J.
    • Other Affiliation: University of Texas San Antonio
  • Beck Dallaghan, Gary L.
    • Affiliation: School of Medicine
  • Coe, Catherine
    • Affiliation: School of Medicine
Abstract
  • Background In 2013, the Accreditation Council on Graduate Medical Education (ACGME) launched the Next Accreditation System, which required explicit documentation of trainee competence in six domains. To document narrative comments, the University of North Carolina Family Medicine Residency Program developed a mobile application to document real time observations. Objective The objective of this work was to assess if the Reporter, Interpreter, Manager, Expert (RIME) framework could be applied to the narrative comments in order to convey a degree of competency. Methods From August to December 2020, 7 individuals analyzed narrative comments of four family medicine residents. The narrative comments were collected from July to December 2019. Each individual applied the RIME framework to the comments and the team met to discuss. Comments where 5/7 individuals agreed were not further discussed. All other comments were discussed until consensus was achieved. Results 102 unique comments were assessed. Of those comments, 25 (25.5%) met threshold for assessor agreement after independent review. Group discussion about discrepancies led to consensus about the appropriate classification for 92 (90.2%). General comments on performance were difficult to fit into the RIME framework. Conclusions Application of the RIME framework to narrative comments may add insight into trainee progress. Further faculty development is needed to ensure comments have discrete elements needed to apply the RIME framework and contribute to overall evaluation of competence.
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  • Article
Rights statement
  • In Copyright
License
  • Attribution-NonCommercial 4.0 International
Journal title
  • Journal of Medical Education and Curricular Development
Journal volume
  • 9
Language
  • English
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  • Publisher
ISSN
  • 2382-1205
Publisher
  • SAGE Publications Ltd

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