Assessment of Rheumatology Fellows’ Skills as Clinical Teachers Through Self‐Assessment and Direct Observation

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Fellows' self-assessed teaching ability does not correlate with direct observation.

Study context

Population
Rheumatology fellows from five institutionscompleted observed structured teaching exercise (OSTE) and self-assessment
Participants
25 participants
Exposure
OSTE preceptor ratings vs fellow self-assessment of teaching skills
Outcome
Fellows' proficiency as clinical teachers rated by trained faculty observers on the OSTE (learning environment, learner assessment, presenting material, feedback, overall teaching ability) and its correlation with self-assessment
Methodological detailsobserved structured teaching exercise (OSTE), self-assessment, survey, multicentre (five institutions)
  • Observed structured teaching exercise (OSTE)
  • Self-assessment
  • Survey
  • Multicentre (five institutions)

Main finding

As reported in the abstract

OSTE preceptor ratings, average proficiency by domain

Highest domain: presenting material, mean (SD)

4.16

SD 0.46

Lowest domain: learner assessment, mean (SD)

3.06

SD 1.56

Observational data: associations, not effects.

Further findings

Post-OSTE survey

Agreed they had received high-quality feedback on teaching skills during fellowship training
57%
Agreed they received effective feedback during the OSTE
100%
  • 23 fellows (92%) completed the survey

Original publication

Assessment of Rheumatology Fellows’ Skills as Clinical Teachers Through Self‐Assessment and Direct Observation. Arthritis Care Res (Hoboken). Published 17 August 2025. doi:10.1002/acr.25593

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