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Experience and Education in Residency Training: Capturing the Resident Experience by Mapping Clinical Data
David W Rhee1, Jonathan W Chun2, David T Stern3
1D.W. Rhee is a fellow, the Leon H. Charney Division of Cardiology, Department of Medicine, NYU Grossman School of Medicine, New York, New York.
A new crosswalk tool effectively maps resident diagnosis codes to clinical content areas, revealing overrepresented and underrepresented experiences in internal medicine training programs. This aids in understanding and improving resident education.
Area of Science:
- Medical Education
- Health Informatics
Background:
- Internal medicine residency programs assume 3 years provide sufficient clinical experience, but measuring this exposure is challenging.
- Residents' clinical educational experiences are poorly understood due to the difficulty in quantifying medical conditions encountered.
Purpose of the Study:
- To develop and validate a crosswalk tool for characterizing residents' inpatient clinical experiences.
- To translate routinely collected diagnosis codes into an educationally meaningful taxonomy.
Main Methods:
- Developed a crosswalk tool linking International Classification of Diseases (ICD)-10 codes to medical content areas.
- Queried inpatient principal diagnosis codes and mapped them to broad and specific condition categories.
Main Results:
- The crosswalk tool successfully mapped 1 year of resident diagnosis codes to educational content categories.
- Identified overrepresented and underrepresented content areas within the residency program compared to ABIM exam material.
Conclusions:
- The crosswalk tool provides a robust, high-resolution method for characterizing residents' inpatient educational experiences.
- This strategy can inform curriculum development, enable inter-program comparisons, and support research on clinical experience and competency.
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