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Also known as in-training evaluation review (ITER), or in-training assessment review (ITAR).
Need to convince learners and preceptors that 3s are ok.
Need to sample the essential skills for the practice of the speciality.
Evaluation objectives are a subset and interpretation of the CanMeds roles. These need to be be functional. Language is criticially important to gain buy-in.
There needs to be regular evaluation with documentation. If this happens regularly, the evaluation descriptors come through.
Case discussions of regular clinical care suffices normally, though direct observation is also helpful.
Limitations to ITARs:
Recall bias, halo effect, central tendency