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December 7, 2011

Changing the Evaluation of Future Physicians—Reply

Author Affiliations

Author Affiliations: University of Toronto, Toronto, Ontario, Canada (adetsky@mtsinai.on.ca).

JAMA. 2011;306(21):2327-2328. doi:10.1001/jama.2011.1785

In Reply: We concur with Dr Sekhon's view that resolving the coach/judge dilemma in medical education will require a shift in how evaluations are viewed by both supervisor and trainee. Sekhon proposes that this be accomplished through faculty development and modifying evaluation criteria to foster lifelong learning. We agree. Doing so will require a better understanding of how clinical tutors assess the clinical performance of trainees. Recent literature suggests that ratings of clinical performance by tutors are complex and more subject to bias than previously thought.1,2 Minimizing this bias is a challenging if not impossible task. This issue could be circumvented by reframing interactions between clinical tutors and trainees to focus on developing expertise.