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Global overall rating for assessing clinical competence: what does it really show?
Medical Education, 08/25/09

Domingues RCL et al. – The internal consistency of global itemised rating (GIR) items was high. Global overall rating scores were higher than most technical domains of GIRs and lower than the humanistic domains of GIRs. The highest significant correlations were found between the GOR and the technical domains of the GIR. When faculty staff attribute a global single–item overall rating to a student's clinical competence, they tend to focus more on technical skills.

Exclusive Author Commentary
Rosangela C L Domingues, 08/30/09

Comparing a single global overall rating to a more descriptive multidimensional rating may add quality to the learners' assessment process. Faculty may detect learners' strenghts and weaknesses more clearly; the feedback process may become more meaningful and students’ compliance with the evaluation system may improve.