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Related Experiment Videos

Evaluation of a computer tracking program for resident-patient encounters

B H Rowe1, D T Ryan, J V Mulloy

  • 1Northeastern Ontario Family Medicine Program, Laurentian University, Sudbury, ON.

Canadian Family Physician Medecin De Famille Canadien
|December 1, 1995
PubMed
Summary
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A computerized system effectively tracks residents' clinical encounters, showing high compliance and reliability for patient data. This tool aids in evaluating residency programs, especially in rural settings.

Area of Science:

  • Medical Education
  • Health Informatics
  • Program Evaluation

Background:

  • Formal tracking systems are crucial for monitoring residents' clinical experiences.
  • Evaluating the effectiveness of such systems is essential for improving medical training.

Purpose of the Study:

  • To assess the effectiveness of a computerized tracking system for residents' clinical experiences.
  • To determine the compliance, reliability, and validity of resident-submitted data.

Main Methods:

  • A study was conducted on first- to third-year residents in emergency rotations at the Northeastern Ontario Family Medicine Program.
  • Three unannounced shifts per resident were analyzed, comparing patient charts with computerized records.
  • Data points included rotation, preceptor, patient demographics, diagnosis, and procedures.

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Main Results:

  • Residents achieved 88% compliance in recording patient encounters.
  • High compliance was observed for rotation (100%) and preceptor (94%) data.
  • Agreement on patient age and sex was high, while procedure compliance was 83%. Intrarater reliability was 91%, inter-rater reliability was 78%, and validity was 88%.

Conclusions:

  • The computerized resident-patient encounter tracking program facilitates regular entry of reliable and valid data.
  • This system is a valuable tool for multilevel program evaluation in medical residency training.
  • The findings support the use of such systems for enhancing the quality of resident education.