Faculty Development Resources
Evaluation
The R.I.M.E Student Evaluation Framework
see below for concept map, tools, and additional information.
The OB/GYN department is moving to the R.I.M.E method of evaluating students (Pangaro, 1999). R.I.M.E. stands for Reporter Interpreter Manager Educator. These four cognitive levels mark the natural progression in a physician's development.
- Reporters can accurately gather information through history taking and physical exam, and can accurately report the information through presentations or write-ups. This is generally at the third and fourth year level.
- Interpreters understand the clinical significance of the information obtained, and can generate a short differential diagnosis and prioritize problems. This is generally at the advanced medical student/intern level.
- Managers can generate a reasonable diagnostic plan to deal with outstanding questions, and a therapeutic plan to solve problems. Finishing interns are typically proficient and handling common problems, with residents able to manage more complex problems.
- Educators have risen to the level where they can identify knowledge gaps in others and effectively fill those gaps. Chief residents and fellows are typically at this level.
These same four cognitive steps will be the descriptive levels we will use to evaluate their progress. We borrow this model from other clerkships who have successfully used it to:
- reduce interrater reliability
- increase performance feedback to students
Additional Tools
- R.I.M.E. concept map
- R.I.M.E integrated with UIC competencies and grading criteria
- R.I.M.E. Guidelines
- includes suggestions for which RIME levels are appropriate for which year (M-1,2,3,; PGY1,2,3)
- PDA file
- summarizing the four R.I.M.E. levels above (for Palm based handhelds) will be uploaded shortly. If you need this now, please contact cpackard@uiuc.edu .
Additional Readings
- Brief synopsis of the R.I.M.E. evaluation model
- further describes the cognitive transition our students progress through during their medical education
- RIME with Reason
- a brief synopsis supporting the use of the RIME model for evaluating clerkship students from the Association of Professors of Gynecology (APGO)
- Published Study of OB/GYN Clerkship experience using R.I.M.E.
- Abstract for Ogburn T, Espey E. The R-I-M-E method for evaluation of medical students on an obstetrics and gynecology clerkship. Am J Obstet Gynecol. 2003 Sep;189(3):666-9.
- Abstract for Ogburn T, Espey E. The R-I-M-E method for evaluation of medical students on an obstetrics and gynecology clerkship. Am J Obstet Gynecol. 2003 Sep;189(3):666-9.
