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Measuring Training Disruptions Using an Informatics Based Tool.
- Source :
- Academic Pediatrics; Jan/Feb2023, Vol. 23 Issue 1, p7-11, 5p
- Publication Year :
- 2023
-
Abstract
- OBJECTIVE: Training disruptions, such as planned curricular adjustments or unplanned global pandemics, impact residency training in ways that are difficult to quantify. Informatics-based medical education tools can help measure these impacts. We tested the ability of a software platform driven by electronic health record data to quantify anticipated changes in trainee clinical experiences during the COVID-19 pandemic. METHODS: We previously developed and validated the Trainee Individualized Learning System (TRAILS) to identify pediatric resident clinical experiences (i.e. shifts, resident provider-patient interactions (rPPIs), and diagnoses). We used TRAILS to perform a year-over-year analysis comparing pediatrics residents at a large academic children's hospital during March 15-June 15 in 2018 (Control #1), 2019 (Control #2), and 2020 (Exposure). RESULTS: Residents in the exposure cohort had fewer shifts than those in both control cohorts (P < .05). rPPIs decreased an average of 43% across all PGY levels, with interns experiencing a 78% decrease in Continuity Clinic. Patient continuity decreased from 23% to 11%. rPPIs with common clinic and emergency department diagnoses decreased substantially during the exposure period. CONCLUSIONS: Informatics tools like TRAILS may help program directors understand the impact of training disruptions on resident clinical experiences and target interventions to learners' needs and development. [ABSTRACT FROM AUTHOR]
- Subjects :
- COMPUTER software
HOSPITAL medical staff
CHILDREN'S hospitals
HEALTH occupations students
COMPUTER science
RETROSPECTIVE studies
INTERNSHIP programs
INFORMATION science
DESCRIPTIVE statistics
RESEARCH funding
ELECTRONIC health records
PATIENT-professional relations
MEDICAL education
COVID-19 pandemic
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 18762859
- Volume :
- 23
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Academic Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 174989704
- Full Text :
- https://doi.org/10.1016/j.acap.2022.03.006