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Correlates of House Officer Performance

Beverly Woo, MD; Phyllis Jen, MD; Paul E. Rosenthal, MD; H. Franklin Bunn, MD; Lee Goldman, MD

Arch Intern Med. 1981;141(9):1199-1202.

Abstract
• To determine the correlates of the adequacy of the diagnostic evaluation of anemia, we conducted a prospective study on the medical services of a university-affiliated hospital. With the use of explicit criteria mapping techniques, the conditions of 204 (79%) anemic inpatients were adequately evaluated. By multiple regression analysis, the adequacy of evaluation showed significant correlations with the identity of the responsible house officer, the severity of the anemia, the patient's sex, and the service in which the patient received care. The performances of individual house officers were not significantly correlated with their subjective rankings by either their supervising residents or their attending faculty; however, a composite subjective ranking derived from the average of these two subjective rankings did correlate with objective performance in the anemia audit. We conclude that both patient and physician characteristics influence the adequacy of anemia evaluations and that objective audits may be a useful adjunct to the usual subjective methods for evaluating house officers' performances.

(Arch Intern Med 1981;141:1199-1202)

Author Affiliations
From the Laboratory for the Analysis of Medical Practices of the Division of General Medicine (Drs Woo, Jen, and Goldman) and Division of Hematology (Drs Rosenthal and Bunn), Department of Medicine, Peter Bent Brigham Hospital, Boston.

Footnotes
Accepted for publication June 23, 1980.

Reprint requests to Division of General Medicine, Department of Medicine, Peter Bent Brigham Hospital, 721 Huntington Ave, Boston, MA 02115 (Dr Goldman).

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