title: Supervisor perspectives on the summative in-training assessment.
abstract: BACKGROUND
  Assessment is a fundamental component of medical education and exists in many formats. In-training assessments are one such example and they serve to provide feedback to learners about their performance during a period of clinical attachment. However, in addition to trainee knowledge and performance, many factors influence the assessment given to a trainee.
  
  
  METHODS
  This study used an anonymous survey to investigate the perceptions of supervisors of the influences on their assessments of Australian dermatology trainees, focusing on the summative in-training assessment (SITA) format.
  
  
  RESULTS
  A response rate of 41% was achieved. The importance of reporting underperformance and providing feedback to trainees was agreed on, but current limitations in the ability of the tool to do this were noted. Implications for practice are discussed including the education and support of supervisors, consideration of logistical issues, the process of SITA completion and supervisor appointment. Further research into the impact of supervisor concerns about potential challenges to a judgement and hesitations about making negative comments about a trainee are required. Examination of the trainee perspective is also required.
  
  
  CONCLUSIONS
  Quality feedback is essential for learners to guide and improve their performance. Supervisors face many potential influences on their assessments and if these are too great, they may jeopardise the quality of the assessment given. Attention to highlighted areas may serve to improve the process, so allowing trainees to develop into the best clinicians they can be.
authors.affiliation: Health Professions Education and Educational Research (HealthPEER), Monash University, Melbourne, Victoria.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Scarff
authors.affiliation: Health Professions Education and Educational Research (HealthPEER), Monash University, Melbourne, Victoria.
authors.forename: Margaret
authors.initials: M
authors.lastname: Bearman
authors.affiliation: Educational Development, Planning and Innovation, Australasian College of Dermatologists, Sydney, New South Wales, Australia.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Corderoy
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D002983:Clinical Competence; D003880:Dermatology / Q000193:education* / Q000458:organization & administration; D004503:Education, Medical, Graduate; D005260:Female; D000068156:Formative Feedback; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D011795:Surveys and Questionnaires
keywords: in-training assessment; influences; supervisor; trainee