title: Validity, Reliability and Acceptability of the Team Standardized Assessment of Clinical Encounter Report.
abstract: BACKGROUND
  The Team Standardized Assessment of a Clinical Encounter Report (StACER) was designed for use in Geriatric Medicine residency programs to evaluate Communicator and Collaborator competencies.
  
  
  METHODS
  The Team StACER was completed by two geriatricians and interdisciplinary team members based on observations during a geriatric medicine team meeting. Postgraduate trainees were recruited from July 2010-November 2013. Inter-rater reliability between two geriatricians and between all team members was determined. Internal consistency of items for the constructs Communicator and Collaborator competencies was calculated. Raters completed a survey previously administered to Canadian geriatricians to assess face validity. Trainees completed a survey to determine the usefulness of this instrument as a feedback tool.
  
  
  RESULTS
  Thirty postgraduate trainees participated. The prevalence-adjusted bias-adjusted kappa range inter-rater reliability for Communicator and Collaborator items were 0.87-1.00 and 0.86-1.00, respectively. The Cronbach's alpha coefficient for Communicator and Collaborator items was 0.997 (95% CI: 0.993-1.00) and 0.997 (95% CI: 0.997-1.00), respectively. The instrument lacked discriminatory power, as all trainees scored "meets requirements" in the overall assessment. Niney-three per cent and 86% of trainees found feedback useful for developing Communicator and Collaborator competencies, respectively.
  
  
  CONCLUSIONS
  The Team StACER has adequate inter-rater reliability and internal consistency. Poor discriminatory power and face validity challenge the merit of using this evaluation tool. Trainees felt the tool provided useful feedback on Collaborator and Communicator competencies.
authors.affiliation: Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada; Division of Geriatrics, St. Michael's Hospital, Toronto, ON, Canada.
authors.forename: Camilla L
authors.initials: CL
authors.lastname: Wong
authors.affiliation: Division of Geriatrics, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Mireille
authors.initials: M
authors.lastname: Norris
authors.affiliation: Division of Geriatrics, Mount Sinai Hospital, Toronto, ON, Canada.
authors.forename: Samir S
authors.initials: SS
authors.lastname: Sinha
authors.affiliation: Division of Geriatrics, St. Michael's Hospital, Toronto, ON, Canada.
authors.forename: Maria L
authors.initials: ML
authors.lastname: Zorzitto
authors.affiliation: The Wright Center for Graduate Medical Education, Pennsylvania, PA, USA.
authors.forename: Sushma
authors.initials: S
authors.lastname: Madala
authors.affiliation: Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada; Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada.
authors.forename: Jemila S
authors.initials: JS
authors.lastname: Hamid
keywords: assessment; collaboration; communication; feedback; postgraduate