TAGME Faculty Development and Supervision 4 — Questions and Answers
Question 1: A program director notices that a faculty supervisor consistently gives all residents high ratings regardless of performance. Which term best describes this evaluation bias?
- Central tendency error
- Leniency bias (Correct answer)
- Halo effect
- Recency bias
Correct answer: Leniency bias
Leniency bias occurs when raters consistently assign inflated scores, failing to differentiate among performance levels.
Question 2: Which faculty development model emphasizes peer observation followed by structured feedback and collaborative reflection to improve teaching skills?
- Didactic lecture series
- Peer coaching model (Correct answer)
- Mentorship dyad
- Online self-study module
Correct answer: Peer coaching model
The peer coaching model uses observation and structured reflective feedback between faculty colleagues to drive teaching improvement.
Question 3: Under ACGME supervision requirements, which category describes a faculty supervisor who is physically present in the same location as the resident during a procedure?
- Indirect supervision with direct oversight available
- Direct supervision (Correct answer)
- Oversight supervision
- Remote supervision
Correct answer: Direct supervision
Direct supervision requires the supervising physician to be physically present with the resident during the clinical activity.
Question 4: A faculty member who excels clinically but struggles with giving constructive feedback would benefit MOST from which type of faculty development intervention?
- Simulation-based procedural training
- Feedback skills workshop (Correct answer)
- Research methodology course
- Financial planning seminar
Correct answer: Feedback skills workshop
Feedback skills workshops specifically target the ability to deliver clear, constructive, and actionable feedback to learners.
Question 5: Which document formally defines the scope of unsupervised practice a resident may perform at a given milestone level?
- Program Letter of Agreement
- Supervision Policy
- Clinical Competency Committee charter
- Entrustable Professional Activity (EPA) framework (Correct answer)
Correct answer: Entrustable Professional Activity (EPA) framework
EPAs operationalize milestones into specific clinical tasks and define the level of supervision required for each based on demonstrated competence.
Question 6: When a first-year resident raises a patient safety concern to their attending, and the attending dismisses it without discussion, which organizational issue does this reflect?
- Inadequate scheduling practices
- Poor psychological safety in the learning environment (Correct answer)
- Insufficient resident duty-hour compliance
- Lack of simulation resources
Correct answer: Poor psychological safety in the learning environment
Psychological safety allows team members to speak up about concerns without fear of ridicule or retaliation; its absence is a patient safety risk.
Question 7: A program wants to assess whether its faculty development program is changing actual teaching behaviors in the clinical environment. Which evaluation level of the Kirkpatrick model would this measure?
- Level 1 – Reaction
- Level 2 – Learning
- Level 3 – Behavior (Correct answer)
- Level 4 – Results
Correct answer: Level 3 – Behavior
Kirkpatrick Level 3 evaluates whether participants have transferred what they learned into changed behavior on the job.
A program director notices that a faculty supervisor consistently gives all residents high ratings regardless of performance.
Which term best describes this evaluation bias?