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...

Descripción completa

Detalles Bibliográficos
Autores principales: Rhee, David W., Reinstein, Ilan, Jrada, Morris, Pendse, Jay, Cocks, Patrick, Stern, David T., Sartori, Daniel J.
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