PEER EVALUATION IN CLERKSHIP TEAM BASED LEARNING SMALL GROUPS: THE INFLUENCE OF EXPERIENCE AND FORMATIVE EVALUATION

 

Ruth E. Levine* 1, Gayle Olson2, Paul Haidet3, and Britta Thompson3

1The Department of Psychiatry and Behavioral Sciences and 2 The Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, and 3. Baylor College of Medicine, Houston, Texas, U.S.A.

 

 

PURPOSE: To see if peer evaluation experience influences students’ ability to discriminate among peers and to evaluate the influence of a midpoint “formative” peer evaluation.

 

METHODS: Three years of peer evaluation (PE) scores were compared in two clerkships (Psychiatry and Ob/Gyn) depending on whether or not the student had experience with PE.  A midpoint PE was instituted in Psychiatry in AY07/08, but not in Ob/Gyn, and scores were compared to determine potential impact on the quantitative and qualititative evaluation components.  

 

RESULTS: The percentage of students giving different scores to different teammates is referred to as the “mean discrimination scores” or MDS.  MDSs prior to the introduction of the midpoint PE ranged from 20-28% in Psychiatry and 23-33% in Ob/Gyn.  PE Naïve (PEN) students in Psychiatry but not Ob/Gyn have significantly lower MDSs than PE Experienced (PEE) students.  Post introduction of the midpoint PE, the midpoint MDS was 11.8%, and the endpoint MDS was 10.3%.  End point discrimination was 0% among PEN students vs 20% among PEE students.

Psychiatry students provided significantly more qualitative feedback than Ob/gyn students. Both total comments and constructive criticism increased during midpoint PE, but decreased by the endpoint.

 

CONCLUSION: PE experience influenced Psychiatry but not Ob/Gyn students, for unknown reasons, but likely having to do with the way the PE is administered.   The midpoint evaluation was associated with increased qualitative evaluation and lesser discrimination, suggesting that it achieved its purpose of providing the students a tool to help their peers become better teammates.