Mapping hospital data to characterize residents’ educational experiences
Abstract Background Experiential learning through patient care is fundamental to graduate medical education. Despite this, the actual content to which trainees are exposed in clinical practice is difficult to quantify and is poorly characterized. There remains an unmet need to define precisely how r...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-022-03561-x |
| _version_ | 1811230779500396544 |
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| author | David W. Rhee Ilan Reinstein Morris Jrada Jay Pendse Patrick Cocks David T. Stern Daniel J. Sartori |
| author_facet | David W. Rhee Ilan Reinstein Morris Jrada Jay Pendse Patrick Cocks David T. Stern Daniel J. Sartori |
| author_sort | David W. Rhee |
| collection | DOAJ |
| description | Abstract Background Experiential learning through patient care is fundamental to graduate medical education. Despite this, the actual content to which trainees are exposed in clinical practice is difficult to quantify and is poorly characterized. There remains an unmet need to define precisely how residents’ patient care activities inform their educational experience. Methods Using a recently-described crosswalk tool, we mapped principal ICD-10 discharge diagnosis codes to American Board of Internal Medicine (ABIM) content at four training hospitals of a single Internal Medicine (IM) Residency Program over one academic year to characterize and compare residents’ clinical educational experiences. Frequencies of broad content categories and more specific condition categories were compared across sites to profile residents’ aggregate inpatient clinical experiences and drive curricular change. Results There were 18,604 discharges from inpatient resident teams during the study period. The crosswalk captured > 95% of discharges at each site. Infectious Disease (ranging 17.4 to 39.5% of total discharges) and Cardiovascular Disease (15.8 to 38.2%) represented the most common content categories at each site. Several content areas (Allergy/Immunology, Dermatology, Obstetrics/Gynecology, Ophthalmology, Otolaryngology/Dental Medicine) were notably underrepresented (≤ 1% at each site). There were significant differences in the frequencies of conditions within most content categories, suggesting that residents experience distinct site-specific clinical content during their inpatient training. Conclusions There were substantial differences in the clinical content experienced by our residents across hospital sites, prompting several important programmatic and curricular changes to enrich our residents’ hospital-based educational experiences. |
| first_indexed | 2024-04-12T10:33:49Z |
| format | Article |
| id | doaj.art-8f646685cff54b5f979926c0da6b4fab |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-12T10:33:49Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-8f646685cff54b5f979926c0da6b4fab2022-12-22T03:36:46ZengBMCBMC Medical Education1472-69202022-06-012211610.1186/s12909-022-03561-xMapping hospital data to characterize residents’ educational experiencesDavid W. Rhee0Ilan Reinstein1Morris Jrada2Jay Pendse3Patrick Cocks4David T. Stern5Daniel J. Sartori6Leon H. Charney Division of Cardiology, Department of Medicine, NYU Grossman School of MedicineInstitute for Innovations in Medical Education, NYU Langone HealthDepartment of Medicine, NYU Grossman School of MedicineDivision of Endocrinology, Department of Medicine, NYU Grossman School of MedicineInternal Medicine Residency Program, Department of Medicine, NYU Grossman School of MedicineDepartment of Medicine, NYU Grossman School of MedicineInternal Medicine Residency Program, Department of Medicine, NYU Grossman School of MedicineAbstract Background Experiential learning through patient care is fundamental to graduate medical education. Despite this, the actual content to which trainees are exposed in clinical practice is difficult to quantify and is poorly characterized. There remains an unmet need to define precisely how residents’ patient care activities inform their educational experience. Methods Using a recently-described crosswalk tool, we mapped principal ICD-10 discharge diagnosis codes to American Board of Internal Medicine (ABIM) content at four training hospitals of a single Internal Medicine (IM) Residency Program over one academic year to characterize and compare residents’ clinical educational experiences. Frequencies of broad content categories and more specific condition categories were compared across sites to profile residents’ aggregate inpatient clinical experiences and drive curricular change. Results There were 18,604 discharges from inpatient resident teams during the study period. The crosswalk captured > 95% of discharges at each site. Infectious Disease (ranging 17.4 to 39.5% of total discharges) and Cardiovascular Disease (15.8 to 38.2%) represented the most common content categories at each site. Several content areas (Allergy/Immunology, Dermatology, Obstetrics/Gynecology, Ophthalmology, Otolaryngology/Dental Medicine) were notably underrepresented (≤ 1% at each site). There were significant differences in the frequencies of conditions within most content categories, suggesting that residents experience distinct site-specific clinical content during their inpatient training. Conclusions There were substantial differences in the clinical content experienced by our residents across hospital sites, prompting several important programmatic and curricular changes to enrich our residents’ hospital-based educational experiences.https://doi.org/10.1186/s12909-022-03561-xContent mappingPrecision educationRational curriculum design |
| spellingShingle | David W. Rhee Ilan Reinstein Morris Jrada Jay Pendse Patrick Cocks David T. Stern Daniel J. Sartori Mapping hospital data to characterize residents’ educational experiences BMC Medical Education Content mapping Precision education Rational curriculum design |
| title | Mapping hospital data to characterize residents’ educational experiences |
| title_full | Mapping hospital data to characterize residents’ educational experiences |
| title_fullStr | Mapping hospital data to characterize residents’ educational experiences |
| title_full_unstemmed | Mapping hospital data to characterize residents’ educational experiences |
| title_short | Mapping hospital data to characterize residents’ educational experiences |
| title_sort | mapping hospital data to characterize residents educational experiences |
| topic | Content mapping Precision education Rational curriculum design |
| url | https://doi.org/10.1186/s12909-022-03561-x |
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