title: Content analysis of resident evaluations of faculty anesthesiologists: supervision encompasses some attributes of the professionalism core competency.
abstract: BACKGROUND
  Anesthesiology departments need an instrument with which to assess practicing anesthesiologists' professionalism. The purpose of this retrospective analysis of the content of a cohort of resident evaluations of faculty anesthesiologists was to investigate the relationship between a clinical supervision scale and the multiple attributes of professionalism.
  
  
  METHODS
  From July 1, 2013 to the present, our department has utilized the de Oliveira Filho unidimensional nine-item supervision scale to assess the quality of clinical supervision of residents provided by our anesthesiologists. The "cohort" we examined included all 13,664 resident evaluations of all faculty anesthesiologists from July 1, 2013 through December 31, 2015, including 1,387 accompanying comments. Words and phrases associated with the core competency of professionalism were obtained from previous studies, and the supervision scale was analyzed for the presence of these words and phrases.
  
  
  RESULTS
  The supervision scale assesses some attributes of anesthesiologists' professionalism as well as patient care and procedural skills and interpersonal and communication skills. The comments that residents provided with the below-average supervision scores included attributes of professionalism, although numerous words and phrases related to professionalism were not present in any of the residents' comments.
  
  
  CONCLUSIONS
  The de Oliveira Filho clinical supervision scale includes some attributes of anesthesiologists' professionalism. The core competency of professionalism, however, is multidimensional, and the supervision scale and/or residents' comments did not address many of the other established attributes of professionalism.
authors.affiliation: Department of Anesthesia, University of Iowa, Iowa City, IA, USA. Franklin-Dexter@UIowa.edu.|Division of Management Consulting, Department of Anesthesia, University of Iowa, 200 Hawkins Drive, 6-JCP, Iowa City, IA, 52242, USA. Franklin-Dexter@UIowa.edu.
authors.forename: Franklin
authors.identifier: http://orcid.org/0000-0001-5897-2484
authors.initials: F
authors.lastname: Dexter
authors.affiliation: Department of Anesthesia, University of Iowa, Iowa City, IA, USA.
authors.forename: Debra
authors.initials: D
authors.lastname: Szeluga
authors.affiliation: Department of Anesthesia, University of Iowa, Iowa City, IA, USA.
authors.forename: Bradley J
authors.initials: BJ
authors.lastname: Hindman
mesh_terms: D000072080:Anesthesiologists / Q000592:standards*; D000776:Anesthesiology / Q000193:education*; D002983:Clinical Competence; D005180:Faculty, Medical / Q000592:standards*; D006801:Humans; D007396:Internship and Residency; D000068616:Professionalism; D012189:Retrospective Studies