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Using an alumni survey to target improvements in an emergency medicine training programme
Theodore Gaeta1, Gowtham Mahalingam1, Matthew Pyle1,2
1Department of Emergency Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, USA.
Emergency Medicine Journal : EMJ
|October 23, 2017
Summary
Emergency Medicine Milestones (EM-Milestones) alumni self-assessments reveal key areas for training improvement. Results highlight specific subcompetencies needing targeted interventions to enhance resident preparedness for independent practice.
Area of Science:
- Medical Education
- Graduate Medical Training
- Emergency Medicine
Background:
- The Accreditation Council for Graduate Medical Education (ACGME) oversees graduate medical training in the USA.
- Emergency Medicine Milestones (EM-Milestones) guide and monitor resident development.
- Alumni surveys are valuable for identifying training program improvements, yet underutilized in emergency medicine.
Purpose of the Study:
- To adapt the EM-Milestones into an alumni self-assessment survey.
- To identify areas for improvement in emergency medicine residency training programs.
Main Methods:
- A self-assessment survey based on EM-Milestones was administered to alumni of an urban academic emergency medicine program.
- Participants rated their competency in EM-Milestones subcompetencies using a Likert scale.
- Descriptive statistics were used to analyze the collected data.
Main Results:
- A 74% response rate was achieved from 93 alumni.
- Alumni met target performance in 5 out of 6 general competencies, with Systems-Based Practice identified as an area below target.
- Six specific subcompetencies (Pharmacotherapy, Ultrasound, Wound Management, Patient Safety, Systems-Based Management, and Technology) fell below the target performance level.
Conclusions:
- Alumni self-evaluation using EM-Milestones offers crucial insights into confidence for independent practice.
- These data, combined with ongoing trainee evaluations, can pinpoint program weaknesses.
- A roadmap for targeted improvements in emergency medicine residency training can be developed.
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