Influence of Clinical Competency Committee Review Process on Summative Resident Assessment Decisions

ABSTRACT Background  Clinical Competency Committees (CCCs) are charged with making summative assessment decisions about residents. Objective  We explored how review processes CCC members utilize influence their decisions regarding residents' milestone levels and supervisory roles. Methods  We conducted a multisite longitudinal prospective observational cohort study at 14 pediatrics residency programs during academic year 2015–2016. Individual CCC members biannually reported characteristics of their review process and Accreditation Council for Graduate Medical Education milestone levels and recommended supervisory role categorizations assigned to residents. Relationships among characteristics of CCC member reviews, mean milestone levels, and supervisory role categorizations were analyzed using mixed-effects linear regression, reported as mean differences with 95% confidence intervals (CIs), and Bayesian mixed-effects ordinal regression, reported as odds ratios (ORs) and 95% credible intervals (CrIs). Resul...