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Observing Clinical Efficiency: A First Step to Fill a Clinical Education Gap in Emergency Medicine
Michael C Overbeck1,2, Bonnie Kaplan1,2, Gannon Sungar1,2
1Department of Emergency Medicine University of Colorado Aurora Colorado USA.
Background:
Emergency medicine (EM) demands high levels of clinical efficiency in dynamic clinical environments, yet few tools exist to support educators in assessing and coaching residents on efficiency behaviors.
Objective:
To develop and pilot an observational domain-based assessment to characterize and assess individual resident clinical efficiency behaviors during emergency department (ED) shifts.
Innovation:
We created and refined a structured clinical efficiency audit tool through expert consensus and direct observation of EM residents during clinical shifts. The tool was designed to identify specific, observable domains of efficient behavior for use in coaching and formative feedback.
Impact:
The domain-based assessment revealed common patterns of time use and facilitated targeted feedback. It offers promise as a framework for assessing and discussing resident efficiency behaviors. Further validation is required, but this model can support educators seeking structured, behavior-based clinical feedback tools.
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