Mapping hospital data to characterize residents’ educational experiences

Rhee, David W; Reinstein, Ilan; Jrada, Morris; Pendse, Jay; Cocks, Patrick; Stern, David; Sartori, Daniel J.

doi:10.1186/s12909-022-03561-x

Cited by 4 publications

(2 citation statements)

References 12 publications

(10 reference statements)

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“…17 23 With the number and distribution of training programs in Brazil, clinical experiences may vary according to the program. 24,25 Thus, ophthalmology residency accreditation systems must consider local epidemiology and program pro les as well as validate the different programs within their characteristics. The importance of context in accreditation, licensing, or certi cation processes is a current topic under discussion in the relevant literature.…”

Section: Resultsmentioning

confidence: 99%

Curriculum satisfaction of graduates of medical residency in ophthalmology

Guimaraes

Amaral

Carvalho

2022

Preprint

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Background The number of ophthalmologists trained in Brazil has increased, but their satisfaction with the medical residency curriculum is unclear. The purpose of this study is to evaluate the satisfaction and self-confidence of graduates of a reference ophthalmology residency program in Brazil. To analyze whether there is a difference in these parameters among those who graduated in different decades. Methods This is a cross-sectional web-based study conducted in 2022 with 379 ophthalmologists who graduated from the Faculty of Medical Sciences of the State University of Campinas (UNICAMP), Brazil. We aim to obtain data on satisfaction and self-confidence in clinical and surgical practices. Results In total, 150 questionnaires were completed (41.68% response rate); 104 respondents (65.8%) completed their medical residency between 2010 and 2022, 34 between 2000 and 2009, and only 20 before 2000. Most respondents were satisfied or very satisfied with their programs (98.7%). Respondents reported insufficient exposure to low vision rehabilitation (62.9%), toric intraocular implants (60.4%), refractive surgery (55.3%), and orbital trauma surgery (84.9%), particularly among graduates before 2010. They also reported insufficient training in certain non-clinical areas, such as office management (62.5%), health insurance management (88.7%), and personnel and administration skills (74.2%). We found that respondents who graduated a long time ago, had higher confidence in clinical and surgical practices. Conclusions Brazilian ophthalmology residents and UNICAMP graduates expressed high levels of satisfaction with their residency training programs. Those who completed the program a long time ago appear to have more confidence in clinical and surgical practices.

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Section: Resultsmentioning

confidence: 99%

Curriculum satisfaction of graduates of medical residency in ophthalmology

Guimaraes

Amaral

Carvalho

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…With the number and distribution of training programs in Brazil, clinical experiences may vary according to the program [28,29]. Thus, ophthalmology residency accreditation systems must consider local epidemiology and program profiles as well as validate the different programs within their characteristics.…”

Section: Establishing a Medical Curriculum In A Large Countrymentioning

confidence: 99%

Curriculum satisfaction of graduates of medical residency in ophthalmology

2023

View full text Add to dashboard Cite

Background The number of ophthalmologists trained in Brazil has increased, but their satisfaction with the medical residency curriculum is unclear. The purpose of this study is to evaluate the satisfaction and self-confidence of graduates of a reference ophthalmology residency program in Brazil and to analyze whether there is a difference in these parameters among those who graduated in different decades. Methods This is a cross-sectional web-based study conducted in 2022 with 379 ophthalmologists who graduated from the Faculty of Medical Sciences of the State University of Campinas (UNICAMP), Brazil. We aim to obtain data on satisfaction and self-confidence in clinical and surgical practices. Results In total, 158 questionnaires were completed (41.68% response rate); 104 respondents completed their medical residency between 2010 and 2022, 34 between 2000 and 2009, and only 20 before 2000. Most respondents were satisfied or very satisfied with their programs (98.7%). Respondents reported insufficient exposure to low vision rehabilitation (62.7%), toric intraocular implants (60.8%), refractive surgery (55.7%), and orbital trauma surgery (84.8%), particularly among graduates before 2010. They also reported insufficient training in certain non-clinical areas, such as office management (61.4%), health insurance management (88.6%), and personnel and administration skills (74.1%). We found that respondents who graduated a long time ago had higher confidence in clinical and surgical practices. Conclusions Brazilian ophthalmology residents and UNICAMP graduates expressed high levels of satisfaction with their residency training programs. Those who completed the program a long time ago appear to have more confidence in clinical and surgical practices. There were clinical and non-clinical areas with insufficient training identified for improvement.

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Toward precision medical education: Characterizing individual residents' clinical experiences throughout training

Drake,

Rhee,

Panigrahy

et al. 2024

Journal of Hospital Medicine

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BackgroundDespite the central role of experiential learning in residency training, the actual clinical experiences residents participate in are not well characterized. A better understanding of the type, volume, and variation in residents' clinical experiences is essential to support precision medical education strategies.ObjectiveWe sought to characterize the entirety of the clinical experiences had by individual internal medicine residents throughout their time in training.MethodWe evaluated the clinical experiences of medicine residents (n = 51) who completed training at NYU Grossman School of Medicine's Brooklyn campus between 2020 and 2023. Residents' inpatient and outpatient experiences were identified using notes written, orders placed, and care team sign‐ins; principal ICD‐10 codes for each encounter were converted into medical content categories using a previously described crosswalk tool.ResultsOf 152,426 clinical encounters with available ICD‐10 codes, 132,284 were mapped to medical content categories (94.5% capture). Residents' clinical experiences were particularly enriched in infectious and cardiovascular disease; most had very little exposure to allergy, dermatology, oncology, or rheumatology. Some trainees saw twice as many cases in a given content area as did others. There was little concordance between actual frequency of clinical experience and expected content frequency on the ABIM certification exam.ConclusionsIndividual residents' clinical experiences in training vary widely, both in number and in type. Characterizing these experiences paves the way for exploration of the relationships between clinical exposure and educational outcomes, and for the implementation of precision education strategies that could fill residents' experiential gaps and complement strengths with targeted educational interventions.

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Mapping hospital data to characterize residents’ educational experiences

Cited by 4 publications

References 12 publications

Curriculum satisfaction of graduates of medical residency in ophthalmology

Curriculum satisfaction of graduates of medical residency in ophthalmology

Curriculum satisfaction of graduates of medical residency in ophthalmology

Toward precision medical education: Characterizing individual residents' clinical experiences throughout training

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