Cargando…
Mapping hospital data to characterize residents’ educational experiences
BACKGROUND: Experiential learning through patient care is fundamental to graduate medical education. Despite this, the actual content to which trainees are exposed in clinical practice is difficult to quantify and is poorly characterized. There remains an unmet need to define precisely how residents...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233374/ https://www.ncbi.nlm.nih.gov/pubmed/35752814 http://dx.doi.org/10.1186/s12909-022-03561-x |
_version_ | 1784735750890192896 |
---|---|
author | Rhee, David W. Reinstein, Ilan Jrada, Morris Pendse, Jay Cocks, Patrick Stern, David T. Sartori, Daniel J. |
author_facet | Rhee, David W. Reinstein, Ilan Jrada, Morris Pendse, Jay Cocks, Patrick Stern, David T. Sartori, Daniel J. |
author_sort | Rhee, David W. |
collection | PubMed |
description | BACKGROUND: Experiential learning through patient care is fundamental to graduate medical education. Despite this, the actual content to which trainees are exposed in clinical practice is difficult to quantify and is poorly characterized. There remains an unmet need to define precisely how residents’ patient care activities inform their educational experience. METHODS: Using a recently-described crosswalk tool, we mapped principal ICD-10 discharge diagnosis codes to American Board of Internal Medicine (ABIM) content at four training hospitals of a single Internal Medicine (IM) Residency Program over one academic year to characterize and compare residents’ clinical educational experiences. Frequencies of broad content categories and more specific condition categories were compared across sites to profile residents’ aggregate inpatient clinical experiences and drive curricular change. RESULTS: There were 18,604 discharges from inpatient resident teams during the study period. The crosswalk captured > 95% of discharges at each site. Infectious Disease (ranging 17.4 to 39.5% of total discharges) and Cardiovascular Disease (15.8 to 38.2%) represented the most common content categories at each site. Several content areas (Allergy/Immunology, Dermatology, Obstetrics/Gynecology, Ophthalmology, Otolaryngology/Dental Medicine) were notably underrepresented (≤ 1% at each site). There were significant differences in the frequencies of conditions within most content categories, suggesting that residents experience distinct site-specific clinical content during their inpatient training. CONCLUSIONS: There were substantial differences in the clinical content experienced by our residents across hospital sites, prompting several important programmatic and curricular changes to enrich our residents’ hospital-based educational experiences. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-022-03561-x. |
format | Online Article Text |
id | pubmed-9233374 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92333742022-06-26 Mapping hospital data to characterize residents’ educational experiences Rhee, David W. Reinstein, Ilan Jrada, Morris Pendse, Jay Cocks, Patrick Stern, David T. Sartori, Daniel J. BMC Med Educ Research BACKGROUND: Experiential learning through patient care is fundamental to graduate medical education. Despite this, the actual content to which trainees are exposed in clinical practice is difficult to quantify and is poorly characterized. There remains an unmet need to define precisely how residents’ patient care activities inform their educational experience. METHODS: Using a recently-described crosswalk tool, we mapped principal ICD-10 discharge diagnosis codes to American Board of Internal Medicine (ABIM) content at four training hospitals of a single Internal Medicine (IM) Residency Program over one academic year to characterize and compare residents’ clinical educational experiences. Frequencies of broad content categories and more specific condition categories were compared across sites to profile residents’ aggregate inpatient clinical experiences and drive curricular change. RESULTS: There were 18,604 discharges from inpatient resident teams during the study period. The crosswalk captured > 95% of discharges at each site. Infectious Disease (ranging 17.4 to 39.5% of total discharges) and Cardiovascular Disease (15.8 to 38.2%) represented the most common content categories at each site. Several content areas (Allergy/Immunology, Dermatology, Obstetrics/Gynecology, Ophthalmology, Otolaryngology/Dental Medicine) were notably underrepresented (≤ 1% at each site). There were significant differences in the frequencies of conditions within most content categories, suggesting that residents experience distinct site-specific clinical content during their inpatient training. CONCLUSIONS: There were substantial differences in the clinical content experienced by our residents across hospital sites, prompting several important programmatic and curricular changes to enrich our residents’ hospital-based educational experiences. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-022-03561-x. BioMed Central 2022-06-25 /pmc/articles/PMC9233374/ /pubmed/35752814 http://dx.doi.org/10.1186/s12909-022-03561-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Rhee, David W. Reinstein, Ilan Jrada, Morris Pendse, Jay Cocks, Patrick Stern, David T. Sartori, Daniel J. Mapping hospital data to characterize residents’ educational experiences |
title | Mapping hospital data to characterize residents’ educational experiences |
title_full | Mapping hospital data to characterize residents’ educational experiences |
title_fullStr | Mapping hospital data to characterize residents’ educational experiences |
title_full_unstemmed | Mapping hospital data to characterize residents’ educational experiences |
title_short | Mapping hospital data to characterize residents’ educational experiences |
title_sort | mapping hospital data to characterize residents’ educational experiences |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233374/ https://www.ncbi.nlm.nih.gov/pubmed/35752814 http://dx.doi.org/10.1186/s12909-022-03561-x |
work_keys_str_mv | AT rheedavidw mappinghospitaldatatocharacterizeresidentseducationalexperiences AT reinsteinilan mappinghospitaldatatocharacterizeresidentseducationalexperiences AT jradamorris mappinghospitaldatatocharacterizeresidentseducationalexperiences AT pendsejay mappinghospitaldatatocharacterizeresidentseducationalexperiences AT cockspatrick mappinghospitaldatatocharacterizeresidentseducationalexperiences AT sterndavidt mappinghospitaldatatocharacterizeresidentseducationalexperiences AT sartoridanielj mappinghospitaldatatocharacterizeresidentseducationalexperiences |