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Implementation of a pilot novel objective peer comparison evaluation system in an emergency medicine residency
Kraftin E Schreyer1, Megan E Healy1, Zachary Repanshek1
1Department of Emergency Medicine Temple University Hospital Philadelphia Pennsylvania USA.
AEM Education and Training
|April 18, 2022
Summary
This pilot study shows that objective peer comparison metrics can be implemented in emergency medicine residency programs. These metrics offer a potential objective addition to the current subjective milestone evaluation system.
Area of Science:
- Medical Education
- Quality Improvement
- Patient Safety
Background:
- Current Emergency Medicine (EM) resident evaluations via The Milestones are subjective and imperfect.
- There is a need for objective metrics to assess resident competency in patient safety and quality improvement.
Purpose of the Study:
- To evaluate the implementation of an objective peer comparison system for EM residents.
- To quantify aspects of quality, safety, efficiency, throughput, and utilization.
Main Methods:
- A pilot study was conducted at an academic, tertiary care center.
- Metrics were compared within postgraduate year (PGY) classes using Wilcoxon signed-rank and rank-order analyses.
Main Results:
- Significant changes were observed in most metrics across all PGY classes.
- PGY3s showed significant changes in EKG and X-ray reads; PGY1s and PGY2s in disposition to final note share.
- Physician evaluation to disposition decision did not reach significance in any class.
Conclusions:
- Objective metrics can be successfully implemented in EM residency training.
- Peer comparison metrics may serve as an objective supplement to the existing milestone evaluation system.
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