- Research Methods &
- Research Training
- Research Into
|Title||Measuring Training Disruptions Using an Informatics Based Tool.|
|Publication Type||Journal Article|
|Year of Publication||2022|
|Authors||Mai MV, Muthu N, Carroll B, Costello A, West DC, Dziorny AC|
|Date Published||2022 Mar 16|
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 < 0.05). 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.
|Alternate Journal||Acad Pediatr|