Methods: We retrospectively analyzed responses for 18 fellows who completed the SPOC questionnaire at the beginning of fellowship, and thereafter at time intervals of 3, 6, 12, 18, and 24 months. Statistical analysis was done using a linear mixed model with ANOVA.
Results: Statistically significant differences were observed in SPOC scores over time, from entry to completing the program (p < 0.0001) and during the 1st and 2nd years of training (p < 0.0001). There were statistically significant changes at each point of SPOC completion (p < .05). The maximal increase in perceived level of competence was observed during the first three months of fellowship (p<0.0001).
Conclusions: We have found SPOC to be a useful learner self-assessment instrument for assessing progress in achieving ACGME competency-based programmatic goals and objectives during training. Response patterns in our program indicate that advances in fellows’ self-perceptions occurred in both the 1st and 2nd years, and were maximal in the first 3 months of training.