Featured Research

from universities, journals, and other organizations

Research reveals doctors in training want real-time feedback

Date:
December 18, 2013
Source:
American Society of Anesthesiologists (ASA)
Summary:
Anesthesiology residents want frequent feedback on their clinical performance, as well as evaluations of their performance compared to their fellow residents as a whole, according to a study. The study demonstrates how an automated case evaluation tool can fulfill some of the new assessment requirements in the Milestones system of the Accreditation Council for Graduate Medical Education (ACGME), which begins in July 2014 for all anesthesiology residencies.

Anesthesiology residents want frequent feedback on their clinical performance, as well as evaluations of their performance compared to their fellow residents as a whole, according to a study in the January issue of Anesthesiology. The study conducted by faculty in the Vanderbilt University School of Medicine demonstrates how an automated case evaluation tool can fulfill some of the new assessment requirements in the Milestones system of the Accreditation Council for Graduate Medical Education (ACGME), which begins in July 2014 for all anesthesiology residencies.

"A major goal of residency training in the 21st century is to create expert workplace learners who will continue to learn throughout their careers," said Matthew McEvoy, M.D., vice chair for educational affairs and residency program director for the Vanderbilt University School of Medicine Department of Anesthesiology. "As all training programs move into the 'Milestones' era in the ACGME Next Accreditation System this type of near real-time, detailed feedback will be critical to help residents evaluate their practice and provide pathways for improving care."

In this project, researchers created an automated case evaluation tool for use by the anesthesiology program director, the Clinical Competency Committee, and anesthesiology residents. Data on 24,154 completed anesthetic cases from February 2010 to March 31, 2013, measured five metrics: antibiotic administration, glucose monitoring, temperature management, pain management and central line insertion. This tool allows the program director to assess a number of milestones easily and efficiently, and provides residents with near real-time performance feedback.

"Assessing and reporting resident performance on all milestones and core competencies is a daunting undertaking for faculty," said Warren Sandberg, M.D, Ph.D., chair of the Vanderbilt Department of Anesthesiology. "For example, there are 60 residents in our program. There are 25 milestones proposed for anesthesiology and five possible levels of performance that need to be evaluated for each milestone. Each resident is expected to be thoroughly assessed every six months, which means that there have to be 1,500 data points for our program during each evaluation cycle reported to ACGME, along with a report of personal performance for each resident. Finding a tool that moderates the administrative workload while still providing reliable data is a tremendous benefit."

The study found that the majority of the residents who responded to a survey regarding the automated case evaluation tool and evaluation program "agreed or strongly agreed" that they want frequent updates on their personal clinical performance, as well as a comparison of their performance to their fellow residents.

"The training of physicians is undergoing massive changes in the coming years," said Jesse Ehrenfeld, M.D., M.P.H., first author on the study. "This feedback system is one part of a larger system being designed that will ultimately track a resident throughout their training and allow them to graduate when they have reached an appropriate competency level, rather than simply having served as a resident for a prescribed period of time after medical school. Residents want to know the time spent in training is of value to them, because they defer significant income and make modest salaries during residency and fellowship training, while they are also paying for medical school."

Dr. McEvoy and the educational team in the Vanderbilt Department of Anesthesiology report that they have already added several other metrics to the performance dashboard in order to respond to resident requests, such as rate of post-operative nausea and vomiting, and new acute kidney injury in their patients during the perioperative period. Plans are underway to continue to expand the performance metrics to make it a scalable and robust system that provides ongoing, personalized data concerning the quality of care delivered by residents and the program as whole.

"In short," said Dr. McEvoy, "we are creating a performance assessment system that will serve as the backbone of an ongoing quality improvement process in our training programs such that education and delivery of patient care can be closely monitored and regularly improved over time."


Story Source:

The above story is based on materials provided by American Society of Anesthesiologists (ASA). Note: Materials may be edited for content and length.


Journal Reference:

  1. Jesse M. Ehrenfeld, Matthew D. McEvoy, William R. Furman, Dylan Snyder, Warren S. Sandberg. Automated Near–Real-time Clinical Performance Feedback for Anesthesiology Residents. Anesthesiology, 2014; 120 (1): 172 DOI: 10.1097/ALN.0000000000000071

Cite This Page:

American Society of Anesthesiologists (ASA). "Research reveals doctors in training want real-time feedback." ScienceDaily. ScienceDaily, 18 December 2013. <www.sciencedaily.com/releases/2013/12/131218095401.htm>.
American Society of Anesthesiologists (ASA). (2013, December 18). Research reveals doctors in training want real-time feedback. ScienceDaily. Retrieved September 20, 2014 from www.sciencedaily.com/releases/2013/12/131218095401.htm
American Society of Anesthesiologists (ASA). "Research reveals doctors in training want real-time feedback." ScienceDaily. www.sciencedaily.com/releases/2013/12/131218095401.htm (accessed September 20, 2014).

Share This



More Health & Medicine News

Saturday, September 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com
Jury Delivers Verdict in Salmonella Trial

Jury Delivers Verdict in Salmonella Trial

AP (Sep. 19, 2014) A federal jury has convicted three people in connection with an outbreak of salmonella poisoning five years ago that sickened hundreds of people and was linked to a number of deaths. (Sept. 19) Video provided by AP
Powered by NewsLook.com
How The 'Angelina Jolie Effect' Increased Cancer Screenings

How The 'Angelina Jolie Effect' Increased Cancer Screenings

Newsy (Sep. 19, 2014) Angelina's Jolie's decision to undergo a preventative mastectomy in 2013 inspired many women to seek early screenings for the disease. Video provided by Newsy
Powered by NewsLook.com
The Cost of Ebola

The Cost of Ebola

Reuters - Business Video Online (Sep. 18, 2014) As Sierra Leone prepares for a three-day "lockdown" in its latest bid to stem the spread of Ebola, Ciara Lee looks at the financial implications of fighting the largest ever outbreak of the disease. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins