Automated Reporting of Trainee Metrics Using Electronic Clinical Systems

Area of Science:

• Medical Education
• Health Informatics
• Pediatrics

Background:

• Accreditation Council for Graduate Medical Education emphasizes objective performance measures.
• Objective measures, including clinical volume, are often missing in residency programs.
• Need for standardized reporting of trainee performance metrics.

Purpose of the Study:

• Develop an automated dashboard using electronic medical systems.
• Report objective metrics like clinical volume and diagnoses for a pediatrics residency.
• Enhance feedback mechanisms for residents and program directors.

Main Methods:

• Queried an enterprise data warehouse for resident documentation over 9 months.
• Identified patient encounters documented by senior pediatrics residents.
• Created a filterable dashboard displaying clinical volume and diagnoses by resident and in aggregate.

Main Results:

• Analyzed data from 44 of 45 senior residents (98%).
• Identified 12,198 patient encounters with resident documentation.
• Reported median encounters: 332 inpatient, 122 emergency, 84 outpatient per resident.
• Common diagnoses: dehydration (inpatient), drug therapy (ED), immunizations (outpatient).

Conclusions:

• Electronic health record systems can generate performance dashboards for pediatrics residents.
• Dashboards provide objective data on clinical volume and diagnoses across care sites.
• Facilitates feedback for program leadership and peer comparison for trainees.