title: Optimizing physician skill development for medical students: The four-part assessment.
abstract: BACKGROUND
  Medical student performance has been poorly correlated with residency performance and warrants further investigation. We propose a novel surgical assessment tool to determine correlations with clinical aptitude.
  
  
  METHODS
  Retrospective review of medical student assessments from 2013 to 2015. Faculty rating of student performance was evaluated by: 1) case presentation, 2) problem definition, 3) question response and 4) use of literature and correlated to final exam assessment. A Likert scale interrater reliability was evaluated.
  
  
  RESULTS
  Sixty student presentations were scored (4.8 assessors/presentation). A student's case presentation, problem definition, and question response was correlated with performance (r = 0.49 to 0.61, p ≤ 0.003). Moderate correlations for either question response or use of literature was demonstrated (0.3 and 0.26, p < 0.05).
  
  
  CONCLUSIONS
  Our four-part assessment tool identified correlations with course and examination grades for medical students. As surgical education evolves, validated performance and reliable testing measures are required.
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: watsonju@ohsu.edu.
authors.forename: Justin J J
authors.initials: JJJ
authors.lastname: Watson
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: kempboha@ohsu.edu.
authors.forename: Phillip M Kemp
authors.initials: PMK
authors.lastname: Bohan
authors.affiliation: Oregon Health & Science University, School of Public Health & Preventive Medicine, USA. Electronic address: ramseyk@ohsu.edu.
authors.forename: Katrina
authors.initials: K
authors.lastname: Ramsey
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: yonge@ohsu.edu.
authors.forename: John D
authors.initials: JD
authors.lastname: Yonge
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: connelch@ohsu.edu.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Connelly
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: mullinsr@ohsu.edu.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Mullins
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: wattersj@ohsu.edu.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Watters
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: schreibm@ohsu.edu.
authors.forename: Martin A
authors.initials: MA
authors.lastname: Schreiber
authors.affiliation: Oregon Health & Science University, Department of Surgery, Division of Trauma, Critical Care & Acute Care Surgery, USA. Electronic address: kiralyl@ohsu.edu.
authors.forename: Laszlo N
authors.initials: LN
authors.lastname: Kiraly
mesh_terms: D001076:Aptitude; D001077:Aptitude Tests; D002983:Clinical Competence; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement / Q000379:methods*; D013502:General Surgery / Q000193:education*; D006801:Humans; D009922:Oregon; D012189:Retrospective Studies; D016037:Single-Blind Method; D013337:Students, Medical / Q000523:psychology*