The Journal of the American Osteopathic Association, 2013/04, 113(4):290-5. doi: 10.7556/jaoa.2013.113.4.290, type of study: ,css,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

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Keywords:

clinical competence [227]
medical education [684]
educational measurement [96]
medical faculty [18]
Ohio [13]
internship and residency [150]
osteopathic medicine [2109]
program evaluation [22]
cross sectional study [894]
USA [1752]

Abstract:

CONTEXT: Residency directors require myriad skills to perform their jobs efficiently. However, many residency directors receive no training prior to obtaining their positions. OBJECTIVE: To determine the effectiveness of the Residency Directors Residency Administration Program (RD RAP)--a 1-year fellowship training program for Ohio osteopathic residency directors sponsored by the Ohio University Heritage College of Osteopathic Medicine/Centers for Osteopathic Research and Education--by measuring the administrative knowledge and skills of Ohio osteopathic residency directors before and after completion of the program. METHODS: The authors administered a 54-item self-assessment instrument to RD RAP participants before and after the 2009-2010 and 2010-2011 programs. The assessment asked participants to rank their knowledge and skills in administration on a 5-point Likert scale, with lower values indicating higher knowledge and skills. We analyzed data from the pre- and postprogram assessments by using the Wilcoxon signed rank nonparametric test. The 54 assessment items were categorized into 10 content domains. RESULTS: Ten RD RAP participants completed the assessments. Median scores were statistically significantly lower for each of the 10 content domains after the RD RAP program. The content domain with the greatest change between pre- and postprogram assessment Likert scale scores was Legal Issues in Residency Training, with a median change of 1.7 (P=.007). Role of Program Directors, Personality, and Professional Development had the smallest change in pre- and postprogram assessment Likert scores, with a median change of 0.8 (P=.011). CONCLUSION: Statistically significant improvements were found in the osteopathic residency directors' self-reported administrative knowledge and skills after participation in the RD RAP.