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Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme

BACKGROUND: In 2013, the Accreditation Council on Graduate Medical Education (ACGME) launched the Next Accreditation System, which required explicit documentation of trainee competence in six domains. To document narrative comments, the University of North Carolina Family Medicine Residency Program...

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Autores principales: Folk, Destiny, Ryckeley, Christian, Nguyen, Michelle, Essig, Jeremiah J., Beck Dallaghan, Gary L., Coe, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958670/
https://www.ncbi.nlm.nih.gov/pubmed/35356418
http://dx.doi.org/10.1177/23821205221090162
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author Folk, Destiny
Ryckeley, Christian
Nguyen, Michelle
Essig, Jeremiah J.
Beck Dallaghan, Gary L.
Coe, Catherine
author_facet Folk, Destiny
Ryckeley, Christian
Nguyen, Michelle
Essig, Jeremiah J.
Beck Dallaghan, Gary L.
Coe, Catherine
author_sort Folk, Destiny
collection PubMed
description BACKGROUND: In 2013, the Accreditation Council on Graduate Medical Education (ACGME) launched the Next Accreditation System, which required explicit documentation of trainee competence in six domains. To document narrative comments, the University of North Carolina Family Medicine Residency Program developed a mobile application to document real time observations. OBJECTIVE: The objective of this work was to assess if the Reporter, Interpreter, Manager, Expert (RIME) framework could be applied to the narrative comments in order to convey a degree of competency. METHODS: From August to December 2020, 7 individuals analyzed narrative comments of four family medicine residents. The narrative comments were collected from July to December 2019. Each individual applied the RIME framework to the comments and the team met to discuss. Comments where 5/7 individuals agreed were not further discussed. All other comments were discussed until consensus was achieved. RESULTS: 102 unique comments were assessed. Of those comments, 25 (25.5%) met threshold for assessor agreement after independent review. Group discussion about discrepancies led to consensus about the appropriate classification for 92 (90.2%). General comments on performance were difficult to fit into the RIME framework. CONCLUSIONS: Application of the RIME framework to narrative comments may add insight into trainee progress. Further faculty development is needed to ensure comments have discrete elements needed to apply the RIME framework and contribute to overall evaluation of competence.
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spelling pubmed-89586702022-03-29 Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme Folk, Destiny Ryckeley, Christian Nguyen, Michelle Essig, Jeremiah J. Beck Dallaghan, Gary L. Coe, Catherine J Med Educ Curric Dev Short Report BACKGROUND: In 2013, the Accreditation Council on Graduate Medical Education (ACGME) launched the Next Accreditation System, which required explicit documentation of trainee competence in six domains. To document narrative comments, the University of North Carolina Family Medicine Residency Program developed a mobile application to document real time observations. OBJECTIVE: The objective of this work was to assess if the Reporter, Interpreter, Manager, Expert (RIME) framework could be applied to the narrative comments in order to convey a degree of competency. METHODS: From August to December 2020, 7 individuals analyzed narrative comments of four family medicine residents. The narrative comments were collected from July to December 2019. Each individual applied the RIME framework to the comments and the team met to discuss. Comments where 5/7 individuals agreed were not further discussed. All other comments were discussed until consensus was achieved. RESULTS: 102 unique comments were assessed. Of those comments, 25 (25.5%) met threshold for assessor agreement after independent review. Group discussion about discrepancies led to consensus about the appropriate classification for 92 (90.2%). General comments on performance were difficult to fit into the RIME framework. CONCLUSIONS: Application of the RIME framework to narrative comments may add insight into trainee progress. Further faculty development is needed to ensure comments have discrete elements needed to apply the RIME framework and contribute to overall evaluation of competence. SAGE Publications 2022-03-24 /pmc/articles/PMC8958670/ /pubmed/35356418 http://dx.doi.org/10.1177/23821205221090162 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Short Report
Folk, Destiny
Ryckeley, Christian
Nguyen, Michelle
Essig, Jeremiah J.
Beck Dallaghan, Gary L.
Coe, Catherine
Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme
title Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme
title_full Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme
title_fullStr Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme
title_full_unstemmed Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme
title_short Evaluating Family Medicine Resident Narrative Comments Using the RIME Scheme
title_sort evaluating family medicine resident narrative comments using the rime scheme
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958670/
https://www.ncbi.nlm.nih.gov/pubmed/35356418
http://dx.doi.org/10.1177/23821205221090162
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