通过电子健康记录数据揭示了美国内科住院医生的住院学习体验变化
Sean Tackett1,2, Bahareh Modanloo2, Heather Sateia3
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Teaching and learning in medicine
|April 7, 2025
概括
内部医学专科医生管理广泛的临床情况,即使在同一研究生年内,患者遭遇的情况也存在显著差异. 电子健康记录数据揭示了实际经验和美国内科医学会 (ABIM) 考试蓝图之间的差异.
科学领域:
- 医学教育 医学教育
- 医疗信息学 医疗信息学
- 内部医学实习生培训 内部医学实习生培训
背景情况:
- 住院医生的临床经验对于实践准备至关重要,但其特征并不清楚.
- 电子健康记录 (EHR) 提供了有关居民临床活动的丰富数据来源.
- 现有的研究仅限于使用EHR数据来定义居民学习体验.
研究的目的:
- 通过使用EHR数据来描述内科住院医生管理的临床情况.
- 为了将居民的经验与美国内部医学委员会 (ABIM) 认证考试蓝图进行比较.
- 确定在不同研究生年 (PGYs) 的住户之间临床遭遇的变化.
主要方法:
- 从约翰霍普金斯医院内科住院计划 (2018年7月至2019年6月) 提取了EHR数据.
- 使用ICD-10-CM排放代码识别了临床条件,并根据ABIM蓝图对其进行了分类.
- 分析了个别居民的遭遇,比较了PGY和ABIM蓝图之间的条件频率.
主要成果:
- 分析了涉及135名居民的19129次入院.
- 遇到的最常见的ABIM类别是:心血管 (20.4%),传染病 (19.5%),胃肠病 (11.2%).
- 发现了显著的差异:感染性疾病 (10.5%) 和心血管疾病 (6.4%) 的过剩,风湿病学/骨科 (6.1%) 和内分泌学 (5.5%) 的缺陷.
- 在同一PGY的居民中,患者入院率和临床状况百分比存在显著差异.
结论:
- 住院患者的临床经验在同一计划内的住院患者之间有很大差异.
- 电子健康记录数据分析可以揭示居民培训和考试要求之间的差距.
- 来自EHR数据的洞察力可以为精确医学教育提供信息,以提高学习和患者的结果.
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