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A Comparison of Medical Student and Resident Assessments of Internal Medicine Faculty. J Grad Med Educ 2026 Jun;18(3):326-333

Date

06/17/2026

Pubmed ID

42306444

Pubmed Central ID

PMC13267240

DOI

10.4300/JGME-D-25-00444.1

Scopus ID

2-s2.0-105042850899 (requires institutional sign-in at Scopus site)

Abstract

BACKGROUND: Learner assessments of attendings are used for self-improvement, academic promotion, and teaching awards, as well as remediation. If assessment differences exist between learners, this could help inform faculty development and institutional evaluation policies.

OBJECTIVE: To compare medical student and resident assessments of internal medicine attendings' teaching.

METHODS: Ten years (2013-2023) of medical student and resident end-of-rotation assessments of internal medicine attendings were evaluated, excluding faculty who weren't rated at least 10 times by both students and residents. Students and residents rated attendings in 9 domains, with 5 overlapping (overall, clarity, rapport, communication, and feedback). We analyzed data using mixed-effects ordered logistic regression with random effects adjustment for clustering on faculty.

RESULTS: There were 35 433 assessments of 496 faculty by 2520 medical students and 1847 residents. Residents rated faculty higher in all domains assessed (overall teaching effectiveness OR=1.39, 99% CI, 1.29-1.49; clarity OR=1.37, 99% CI, 1.27-1.47; rapport OR=2.24, 99% CI, 2.07-2.41; decisions OR=1.48, 99% CI, 1.38-1.59; feedback OR=1.27, 99% CI, 1.19-1.37). Most ratings of overall effectiveness were excellent (medical students: 60%; residents: 67%), and ratings increased from learners from the third-year medical students through senior internal medicine residents.

CONCLUSIONS: Most attendings' teaching was rated as "excellent" in all domains assessed. Higher level of trainee was associated with higher faculty ratings in all domains.

Author List

Jackson JL, Auckley E, Fletcher KE, Bopp K, Kuriyama A

Authors

Kathlyn E. Fletcher MD Professor in the Medicine department at Medical College of Wisconsin
Jeffrey L. Jackson MD Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Educational Measurement
Faculty, Medical
Humans
Internal Medicine
Internship and Residency
Students, Medical
Teaching