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Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation

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Measuring Training Disruptions Using an Informatics Based Tool.

Mark V Mai¹, Naveen Muthu², Bryn Carroll²

¹Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia (MV Mai), Philadelphia, Pa.

Academic Pediatrics

|March 20, 2022

Summary

This summary is machine-generated.

Medical informatics tools quantified training disruptions. Pediatric residents experienced fewer shifts and patient interactions during the COVID-19 pandemic, highlighting the need for targeted interventions.

Keywords:

COVID-19 EHR data clinical experience graduate medical education patient attribution resident education

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Area of Science:

Medical Informatics
Medical Education
Pediatric Residency Training

Background:

Training disruptions, including pandemics, pose challenges in quantifying their impact on medical residency.
Informatics-based tools offer a potential solution for measuring these training impacts.
The Trainee Individualized Learning System (TRAILS) was previously developed to track resident clinical experiences.

Purpose of the Study:

To evaluate the effectiveness of an informatics platform in quantifying changes in pediatric resident clinical experiences during the COVID-19 pandemic.
To assess the impact of training disruptions on resident shifts, patient interactions, and continuity of care.

Main Methods:

Utilized the TRAILS software platform, which analyzes electronic health record data.
Conducted a year-over-year analysis comparing pediatric residents from March 15 to June 15 in 2018, 2019 (controls), and 2020 (exposure cohort).
Quantified shifts, resident provider-patient interactions (rPPIs), and patient continuity.

Main Results:

Residents in the 2020 cohort experienced significantly fewer shifts compared to control groups (P < .05).
A 43% average decrease in resident provider-patient interactions (rPPIs) was observed across all postgraduate year levels.
Interns saw a 78% reduction in Continuity Clinic interactions, and overall patient continuity dropped from 23% to 11%.

Conclusions:

Informatics tools like TRAILS can effectively measure the impact of training disruptions on resident clinical experiences.
Findings highlight significant reductions in clinical encounters and continuity during the pandemic.
These insights can assist program directors in identifying needs and developing targeted interventions for residents.