title: Resident Self-Assessment and Learning Goal Development: Evaluation of Resident-Reported Competence and Future Goals.
abstract: OBJECTIVE
  To determine incidence of learning goals by competency area and to assess which goals fall into competency areas with lower self-assessment scores.
  
  
  METHODS
  Cross-sectional analysis of existing deidentified American Academy of Pediatrics' PediaLink individualized learning plan data for the academic year 2009-2010. Residents self-assessed competencies in the 6 Accreditation Council for Graduate Medical Education (ACGME) competency areas and wrote learning goals. Textual responses for goals were mapped to 6 ACGME competency areas, future practice, or personal attributes. Adjusted mean differences and associations were estimated using multiple linear and logistic regression.
  
  
  RESULTS
  A total of 2254 residents reported 6078 goals. Residents self-assessed their systems-based practice (51.8) and medical knowledge (53.0) competencies lowest and professionalism (68.9) and interpersonal and communication skills (62.2) highest. Residents were most likely to identify goals involving medical knowledge (70.5%) and patient care (50.5%) and least likely to write goals on systems-based practice (11.0%) and professionalism (6.9%). In logistic regression analysis adjusting for postgraduate year (PGY), gender, and degree type (MD/DO), resident-reported goal area showed no association with the learner's relative self-assessment score for that competency area. In the conditional logistic regression analysis, with each learner serving as his or her own control, senior residents (PGY2/3+s) who rated themselves relatively lower in a competency area were more likely to write a learning goal in that area than were PGY1s.
  
  
  CONCLUSIONS
  Senior residents appear to develop better skills and/or motivation to explicitly turn self-assessed learning gaps into learning goals, suggesting that individualized learning plans may help improve self-regulated learning during residency.
authors.affiliation: Department of Pediatrics, University of California Davis, School of Medicine, Sacramento, Calif. Electronic address: su-ting.li@ucdmc.ucdavis.edu.
authors.forename: Su-Ting T
authors.initials: ST
authors.lastname: Li
authors.affiliation: Departments of Internal Medicine and Sociology, University of California Davis, School of Medicine, Sacramento, Calif; Center for Healthcare Policy and Research, University of California Davis, School of Medicine, Sacramento, Calif.
authors.forename: Debora A
authors.initials: DA
authors.lastname: Paterniti
authors.affiliation: Department of Pediatrics, University of California Davis, School of Medicine, Sacramento, Calif; Center for Healthcare Policy and Research, University of California Davis, School of Medicine, Sacramento, Calif.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Tancredi
authors.affiliation: Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, Ohio.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Burke
authors.affiliation: Department of Pediatrics, University of South Alabama College of Medicine, Mobile, Ala.
authors.forename: R Franklin
authors.initials: RF
authors.lastname: Trimm
authors.affiliation: Department of Pediatrics, University of Vermont College of Medicine, Burlington, Vt.
authors.forename: Ann
authors.initials: A
authors.lastname: Guillot
authors.affiliation: Office of Academic Affairs, Winthrop University Hospital, Mineola, NY.
authors.forename: Susan
authors.initials: S
authors.lastname: Guralnick
authors.affiliation: Department of Pediatrics, Nationwide Children's Hospital/Ohio State University, Columbus, Ohio.
authors.forename: John D
authors.initials: JD
authors.lastname: Mahan
mesh_terms: D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006040:Goals; D006801:Humans; D007396:Internship and Residency; D016015:Logistic Models; D008297:Male; D010372:Pediatrics / Q000193:education*; D012647:Self-Assessment; D014481:United States
keywords: learning goal; medical education; resident; self-assessment