Patient charts and physician office management decisions: Chart audit and chart stimulated recall

Jennett, Penny; Scott, S. M.; Atkinson, Martin A.; Crutcher, Rodney; Hogan, David B.; Elford, Rod; MacCannell, Keith L.; Baumber, John S.

doi:10.1002/chp.4750150105

Cited by 17 publications

(25 citation statements)

References 1 publication

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“…Moore et al25 found that CME subject matter was increasingly focused on seeking solutions to patient care problems. Jennett et al26 sought to obtain an accurate assessment of clinical competence and performance in office practice through a multi-tool approach. Results from that study confirmed that, in addition to physician competence, there are other factors that are significant to consider when analyzing management approaches, identifying areas for learning and designing CME interventions.…”

Section: Introductionmentioning

confidence: 99%

The transformation of continuing medical education (CME) in the United States

Balmer¹

2013

AMEP

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This article describes five major themes that inform and highlight the transformation of continuing medical education in the USA. Over the past decade, the Institute of Medicine (IOM) and other national entities have voiced concern over the cost of health care, prevalence of medical errors, fragmentation of care, commercial influence, and competence of health professionals. The recommendations from these entities, as well as the work of other regulatory, professional, academic, and government organizations, have fostered discussion and development of strategies to address these challenges. The five themes in this paper reflect the changing expectations of multiple stakeholders engaged in health care. Each theme is grounded in educational, politico-economic priorities for health care in the USA. The themes include (1) a shift in expectation from simple attendance or a time-based metric (credit) to a measurement that infers competence in performance for successful continuing professional development (CPD); (2) an increased focus on interprofessional education to augment profession-specific continuing education; (3) the integration of CPD with quality improvement; (4) the expansion of CPD to address population and public health issues; and (5) identification and standardization of continuing education (CE) professional competencies. The CE profession plays an essential role in the transformation of the US CPD system for health professionals. Coordination of the five themes described in this paper will foster an improved, effective, and efficient health system that truly meets the needs of patients.

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Section: Introductionmentioning

confidence: 99%

The transformation of continuing medical education (CME) in the United States

Balmer¹

2013

AMEP

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“…This method was shown to have good face and content validity (Jennett 1995). In addition, it has been demonstrated that (with sufficient sampling) good levels of reliability (Norman 1993) and validity with assessor training (Solomon 1990) can be achieved.…”

Section: Origins Of Case-based Discussionmentioning

confidence: 96%

Case-based discussion

Brown¹,

Holsgrove²,

Teeluckdharry³

2011

Adv. psychiatr. treat

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SummaryCase-based discussion has been a key element of the assessment programme for psychiatrists in training under the guidance of the Royal College of Psychiatrists since 2007. Its incorporation within systems for recertification and thus revalidation for psychiatrists in established practice has now been piloted. This article discusses the origins of the instrument in Canada and the USA before describing its use in the UK. Case-based discussion is placed within the context of contemporary postgraduate medical education and the curricula of the College, offering practical guidance on how best to use this method for the assessment of reasoning and judgement. Finally, some questions are posed regarding the potential use of case-based discussion in the proposals for revalidation.

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“…Jennett et al (1995) used both chart audit and CSR to assess the clinical competence of 20 practicing family physicians. Chart stimulated recall was found to expound on a broader range of information that could be used to assess physician's diagnostic, investigative, and treatment skills and the clinical reasoning behind those skills.…”

Section: Discussionmentioning

confidence: 99%

Using patients’ charts to assess medical trainees in the workplace: A systematic review

et al. 2015

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Objectives: The objective of this review is to summarize and critically appraise existing evidence on the use of chart stimulated recall (CSR) and case-based discussion (CBD) as an assessment tool for medical trainees. Methods: Medline, Embase, CINAHL, PsycINFO, Educational Resources Information Centre (ERIC), Web of Science, and the Cochrane Central Register of Controlled Trials were searched for original articles on the use of CSR or CBD as an assessment method for trainees in all medical specialties. Results: Four qualitative and three observational non-comparative studies were eligible for this review. The number of patientchart encounters needed to achieve sufficient reliability varied across studies. None of the included studies evaluated the content validity of the tool. Both trainees and assessors expressed high level of satisfaction with the tool; however, inadequate training, different interpretation of the scoring scales and skills needed to give feedback were addressed as limitations for conducting the assessment. Conclusion: There is still no compelling evidence for the use of patient's chart to evaluate medical trainees in the workplace. A body of evidence that is valid, reliable, and documents the educational effect in support of the use of patients' charts to assess medical trainees is needed.

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Patient charts and physician office management decisions: Chart audit and chart stimulated recall

Abstract: Accurate assessment of clinical competence and performance in office practice is enhanced through a multi-tool approach. Two assessment tools that offer

Cited by 17 publications

References 1 publication

The transformation of continuing medical education (CME) in the United States

The transformation of continuing medical education (CME) in the United States

Case-based discussion

Using patients’ charts to assess medical trainees in the workplace: A systematic review

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