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Evaluation & the Health Professions
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Examination of a Clinical Teaching Effectiveness Instrument Used for Summative Faculty Assessment

S. Beth Bierer

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University

Alan L. Hull

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University

This study explores whether a clinical teaching effectiveness (CTE) instrument provides valid scores for summative faculty assessment. The sample included all CTE instruments (n = 10,087) that learners (N = 1,194) completed to assess clinical teachers (N = 872) during 1 academic year. The authors investigated response processes (e.g., missing data, straight-line responses, level of learner), internal structure (e.g., confirmatory and exploratory factor analysis), teaching ratings by learner group (medical student or resident), and relation to other variables (e.g., correlation with global rating). Response processes identified a high prevalence of straight-line responses (same rating across all items) and differential patterns of missing data by learner group. Medical students rated their teachers higher than residents, and CTE scores had different factor structures depending on learner group. High correlation coefficients of CTE items with a single rating of overall teaching performance suggest that learners consider global performance when assessing clinical teaching performance.

Key Words: clinical teaching effectiveness • validity

Evaluation & the Health Professions, Vol. 30, No. 4, 339-361 (2007)
DOI: 10.1177/0163278707307906
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