title: What are the associations between the quantity of faculty evaluations and residents' perception of quality feedback?
abstract: OBJECTIVE
  To determine if there is a correlation between the numbers of evaluations submitted by faculty and the perception of the quality of feedback reported by trainees on a yearly survey.
  
  
  METHODS
  147 ACGME-accredited training programs sponsored by a single medical school were included in the analysis. Eighty-seven programs (49 core residency programs and 38 advanced training programs) with 4 or more trainees received ACGME survey summary data for academic year 2013-2014. Resident ratings of satisfaction with feedback were analyzed against the number of evaluations completed per resident during the same period. R-squared correlation analysis was calculated using a Pearson correlation coefficient.
  
  
  RESULTS
  177,096 evaluations were distributed to the 87 programs, of which 117,452 were completed (66%). On average, faculty submitted 33.9 evaluations per resident. Core residency programs had a greater number of evaluations per resident than fellowship programs (39.2 vs. 27.1, respectively, p = 0.15). The average score for the "satisfied with feedback after assignment" survey questions was 4.2 (range 2.2-5.0). There was no overall correlation between the number of evaluations per resident and the residents' perception of feedback from faculty based on medical, surgical or hospital-based programs.
  
  
  CONCLUSIONS
  Resident perception of feedback is not correlated with number of faculty evaluations. An emphasis on faculty summative evaluation of resident performance is important but appears to miss the mark as a replacement for on-going, data-driven, structured resident feedback. Understanding the difference between evaluation and feedback is a global concept that is important for all medical educators and learners.
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Blankush
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: Brijen J
authors.initials: BJ
authors.lastname: Shah
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: Scott H
authors.initials: SH
authors.lastname: Barnett
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: Gaber
authors.initials: G
authors.lastname: Badran
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Mercado
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: Reena
authors.initials: R
authors.lastname: Karani
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: David
authors.initials: D
authors.lastname: Muller
authors.affiliation: Department of Medical Education, Icahn School of Medicine at Mount Sinai, USA.
authors.forename: I Michael
authors.initials: IM
authors.lastname: Leitman
keywords: Accreditation; Evaluation; Faculty; Feedback; GME; Graduate medical education; Residency