Leveraging the Electronic Health Record to Measure Resident Clinical Experiences and Identify Training Gaps:...

Area of Science:

• Medical Education
• Competency-Based Training
• Pediatrics

Background:

• The COVID-19 pandemic disrupted standard clinical training for medical residents.
• Residency program directors needed tools to assess and address clinical experience gaps.
• Competence-based medical education relies on linking clinical experiences with demonstrated competence.

Purpose of the Study:

• To demonstrate a method for capturing electronic health record (EHR) data on pediatric resident clinical experiences.
• To generate benchmark data for individual, class, and graduate levels.
• To create a visualization tool for identifying clinical experience gaps.

Main Methods:

• A pilot study in a pediatric residency program (2016-2022).
• Faculty identified key diagnostic groups for outpatient pediatrics competence.
• International Classification of Diseases, Tenth Revision (ICD-10) codes extracted EHR data for volume and variety analysis.
• Radar charts visualized resident experiences against peer and graduate benchmarks.

Main Results:

• Electronic health record (EHR) data from 102 residents (52 graduates) were analyzed.
• Radar charts effectively highlighted diagnostic exposure gaps for active residents (n=50).
• Residents reported the visualization tool was useful for setting learning goals.

Conclusions:

• An innovative method for capturing and presenting resident clinical experience data was developed.
• This methodology can identify learning gaps caused by training disruptions.
• The approach is scalable across institutions and specialties to inform medical education.