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Table 4 Explanations expressing disagreement between the system’s proposition and the assessor’s perception

From: Development and use of a computerized system to track the competency development of family medicine residents: analysis of the convergence between system proposals and assessor decisions

Disagreement with the system—scores adjusted upwards

Disagreement with the system—scores adjusted downwards

Overemphasis on assessing weaknesses compared to strengths

Disagreement with the system that “distant supervision” or “limit timing” results in a rating of inadequate or failure

Real or anticipated improvement in the resident’s performance

“My judgement is better”

Criteria or expectations are not adapted to the specialty (other than family medicine) or to the specific nature of the internship

Resident who reaches the expected performance level, but not early (contrary to the system’s interpretation)

Did not reflect the resident’s actual performance

Criteria or expectations are not adapted to the specialty (other than family medicine) or to the specific nature of the internship

88

79

26

55

42

122

29

21

Total upward adjustments: 290

Total downward adjustments: 172