Safety, quality & education

Overall anesthesia department quality of clinical supervision of trainees over a year evaluated using mixed effects models

J Clin AnesthPublished Retrospective cohort study

Authors' conclusion

Random effects meta-analysis of percentage incidences of maximum scores is a suitable statistical approach to analyze the daily supervision scores of individual anesthesiologists to evaluate the overall quality of clinical supervision provided to the trainees by the department over a year.

Study context

Population
Faculty anesthesiologists evaluated by residents and fellows with the De Oliveira Filho supervision scale over nine academic years at one departmentevaluations of 115 faculty
Participants
48,788 participants
Outcome
Statistical approach to department-level supervision quality
Methodological detailssingle department, mixed effects models
  • Single department
  • Mixed effects models

Main finding

As reported in the abstract

  • Mean scores among raters had marked negative skewness, inconsistent with normal distributions; accurate CIs impracticably wide
  • Logits of proportions of maximum scores per rater sufficiently close to normal for random effects modelling
  • Semi-annual or annual trainee surveys reported as raw counts give far lower estimates of supervision quality than daily evaluations

Observational data: associations, not effects.

Original publication

Overall anesthesia department quality of clinical supervision of trainees over a year evaluated using mixed effects models. J Clin Anesth. Published 31 March 2023. doi:10.1016/j.jclinane.2023.111114

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