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Improving ACGME Compliance for Obstetric Anesthesiology Fellows Using an Automated Email Notification System.

Holly B Ende1, Michael G Richardson1, Brandon M Lopez1

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Summary
This summary is machine-generated.

An automated email system significantly increased fellow participation in nonobstetric antenatal surgeries. This informatics solution improved trainee involvement in crucial, yet logistically challenging, obstetric anesthesiology cases.

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Area of Science:

  • Medical Informatics
  • Anesthesiology
  • Obstetrics

Background:

  • Graduate medical trainees face minimum case requirements.
  • Obstetric anesthesiology fellows struggle with participation in nonobstetric antenatal procedures due to scheduling and location challenges.

Purpose of the Study:

  • To increase fellow participation in nonobstetric antenatal surgeries.
  • To implement an informatics-based notification system to address participation challenges.

Main Methods:

  • An automated email notification system was developed to identify pregnant patients undergoing nonobstetric surgeries.
  • Fellows received daily automated emails with case details.
  • Trainee participation rates were compared pre- and post-implementation using statistical tests.

Main Results:

  • Fellow participation in nonobstetric antenatal cases increased significantly, from a median of 0 to 3 cases per quarter (p=0.007).
  • The percentage of antenatal cases completed by fellows rose from 14% to 52% (p<0.001).

Conclusions:

  • An automated email system effectively identified nonobstetric antenatal procedures.
  • This informatics solution successfully increased fellow completion of these challenging cases over a 3-year period.