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Using natural language processing to provide personalized learning opportunities from trainee clinical notes.

Joshua C Denny1, Anderson Spickard1, Peter J Speltz2

  • 1Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN, United States; Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, United States.

Journal of Biomedical Informatics
|June 14, 2015
PubMed
Summary
This summary is machine-generated.

A novel electronic advisor system uses natural language processing (NLP) to identify geriatric medicine competencies like advance directives (AD) and altered mental status (AMS) from student clinical notes. This system shows promise for scalable competency assessment and targeted education in medical training.

Keywords:
Advanced directivesAltered mental statusDecision supportGeriatric educationMedical educationNatural language processing

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Area of Science:

  • Medical Education Technology
  • Natural Language Processing in Healthcare
  • Geriatric Medicine Training

Background:

  • Competency-based assessment is standard in medical education.
  • Identifying specific learning opportunities from clinical notes is challenging.

Purpose of the Study:

  • To develop and evaluate a novel electronic advisor system using NLP.
  • To identify two geriatric medicine competencies: advance directives (AD) and altered mental status (AMS) from medical student clinical notes.
  • To deliver customized learning materials based on identified competencies.

Main Methods:

  • Third-year medical student clinical notes were processed using NLP to identify AD and AMS.
  • An electronic advisor system generated email alerts with supplemental learning materials.
  • Physician review evaluated the precision and recall of the NLP system.
  • Student knowledge was assessed via pre- and post-tests.

Main Results:

  • The system successfully identified AD and AMS competencies with high precision (100% for AD, 93% for AMS) and recall (69% for AD, 100% for AMS).
  • 54 out of 66 students received 393 email alerts, prompting a small change in student behavior regarding advance directives.
  • Students accessed educational links 34 times, indicating engagement with the provided material.
  • No significant difference was observed in pre-test (62%) and post-test (60%) scores.

Conclusions:

  • The NLP-based electronic advisor system effectively identified educational opportunities in clinical notes.
  • The system demonstrated a capacity to influence student behavior and offers a scalable model for competency assessment.
  • This technology can deliver targeted educational interventions to medical trainees.