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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Nursing Clinical Information System (NCIS)
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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Promoting Resident Education Priorities With an Acute Care Surgery Service Dashboard.

Karen Trang1, Logan Pierce2, Elizabeth C Wick1

  • 1Department of Surgery, University of California San Francisco, San Francisco, California.

Journal of Surgical Education
|December 7, 2024
PubMed
Summary

An electronic health record (EHR) dashboard reduced resident administrative workload by 60 minutes weekly and increased Entrustable Professional Activities (EPA) assessments, improving surgical education.

Keywords:
Acute care surgeryClinical informaticsEntrustable professional activitiesResident evaluationSurgical education

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Area of Science:

  • Surgical Education
  • Health Informatics
  • Academic Medicine

Background:

  • Electronic Health Records (EHR) offer potential for improving surgical education.
  • Data visualization can enhance the utility of EHR data for educational purposes.

Purpose of the Study:

  • To leverage EHR reporting and data visualization to advance surgical education priorities within an Acute Care Surgery (ACS) service.
  • To reduce resident administrative burden and improve faculty assessment of resident competency.

Main Methods:

  • An ACS dashboard was developed using Tableau software to display operational EHR data.
  • The dashboard replaced manual resident administrative tasks and provided faculty with data for Entrustable Professional Activities (EPA) assessments.
  • Resident surveys and EPA completion rates were used to evaluate the dashboard's impact.

Main Results:

  • The dashboard reduced weekly resident administrative time by an average of 60 minutes.
  • Completed EPA assessments increased from zero to 5.3 per month during the pilot and continued at 2.3 per month post-pilot.
  • Faculty access to the dashboard and weekly reminders facilitated EPA completion.

Conclusions:

  • The ACS dashboard effectively reduced resident workload and enhanced EPA assessment, thereby improving surgical education.
  • Collaboration between surgical education specialists and healthcare informatics leadership is crucial for integrating EHR tools into training.
  • Future healthcare system technology should be designed with educational goals in mind.