Anesthesiology residents want frequent feedback on clinical performance

Published on December 19, 2013 at 5:39 AM · No Comments

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.

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