Challenges to medical education have been pervasive during the COVID-19 pandemic, and medical students, in particular, have faced numerous obstacles as a result. One of the greatest losses for medical students was the inability to gather with their peers and a lost sense of community. The Learning Community (LC) program at Wayne State University School of Medicine (WSU SoM) expanded our offerings through the use of the Zoom platform to increase a sense of connectedness among medical students. The first initiative of its kind at WSU SoM, the Virtual Conversation series enabled students to share their pandemic challenges while also connecting with physicians on the COVID-19 frontlines. Students were offered eight online sessions with physicians and residents who were able to share insight regarding (1) how to succeed as a medical student on rotation during COVID-19, (2) potential implications of the pandemic on residency applications, (3) the utility of telemedicine, (4) tips for patient encounters, and (5) realities of serving as a physician during a global health crisis. Methods Residents and clinical physicians on the COVID-19 frontlines participated in 40-minute discussions with WSU SoM students through Zoom. Electronic Qualtrics surveys were distributed to medical student attendees of the Virtual Conversation series and responses were received via Likert scale, open text, and ranking questions.
The annual performance appraisal is a ubiquitous and often‐dreaded process in the workplace. Evaluation biases generated by both the evaluator and the performer threaten to undermine the efficacy and utility of this evaluation milestone. There is research to support that methods can be used to reduce these biases while simultaneously improving evaluation outcomes and engagement. Employing structured methods, identifying specific aims, and ensuring that there is added value in the eyes of the stakeholders can mitigate evaluation biases. Self‐assessment methods can be utilized and enhanced through use of clear criteria; a systematic approach; instruction, cues, and feedback; and opportunities for revision and improvement. Efforts to reduce evaluation biases while simultaneously engaging performers in structured self‐assessment create an opportunity to transform the annual performance appraisal process from dreaded event to a vista for performance improvement.
This study aimed to determine the role of electronic health record software in resident education by evaluating documentation of 30 elements extracted from the American Academy of Ophthalmology Dry Eye Syndrome Preferred Practice Pattern. The Kresge Eye Institute transitioned to using electronic health record software in June 2013. We evaluated the charts of 331 patients examined in the resident ophthalmology clinic between September 1, 2011, and March 31, 2014, for an initial evaluation for dry eye syndrome. We compared documentation rates for the 30 evidence-based elements between electronic health record chart note templates among the ophthalmology residents. Overall, significant changes in documentation occurred when transitioning to a new version of the electronic health record software with average compliance ranging from 67.4% to 73.6% (p < 0.0005). Electronic Health Record A had high compliance (>90%) in 13 elements while Electronic Health Record B had high compliance (>90%) in 11 elements. The presence of dialog boxes was responsible for significant changes in documentation of adnexa, puncta, proptosis, skin examination, contact lens wear, and smoking exposure. Significant differences in documentation were correlated with electronic health record template design rather than individual resident or residents’ year in training. Our results show that electronic health record template design influences documentation across all resident years. Decreased documentation likely results from “mouse click fatigue” as residents had to access multiple dialog boxes to complete documentation. These findings highlight the importance of EHR template design to improve resident documentation and integration of evidence-based medicine into their clinical notes.
Background Over the past decade, regulatory bodies have heightened their emphasis on health care quality and safety. Education of physicians is a priority in this effort, with the Accreditation Council for Graduate Medical Education requiring that trainees attain competence in practice-based learning and improvement and systems-based practice. To date, several studies about the use of resident education related to quality and safety have been published, but no comprehensive interdisciplinary curricula seem to exist. Effective, formal, comprehensive cross-disciplinary resident training in quality and patient safety appear to be a vital need. Methods To address the need for comprehensive resident training in quality and patient safety, we developed and assessed a formal standardized cross-disciplinary curriculum entitled Quality Education and Safe Systems Training (QuESST). The curriculum was offered to first-year residents in a large urban medical center. Preintervention and postintervention assessments and participant perception surveys evaluated the effectiveness and educational value of QuESST. Results A total of 138 first-year medical and pharmacy residents participated in the QuESST course. Paired analysis of preintervention and postintervention assessments showed significant improvement in participants' knowledge of quality and patient safety. Participants' perceptions about the value of the curriculum were favorable, as evidenced by a mean response of 1.8 on a scale of 1 (strongly agree) to 5 (strongly disagree) that the course should be taught to subsequent residency classes. Conclusion QuESST is an effective comprehensive quality curriculum for residents. Based on these findings, our institution has made QuESST mandatory for all future first-year resident cohorts. Other institutions should explore the value of QuESST or a similar curriculum for enhancing resident competence in quality and patient safety.
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