Development of a Web-based Resident Profiling Tool to Support Training in Practice-based Learning and Improvement
Multiple factors are driving residency programs to explicitly address practice-based learning and improvement (PBLI), yet few information systems exist to facilitate such training. We developed, implemented, and evaluated a Web-based tool that provides Internal Medicine residents at the University of Virginia Health System with population-based reports about their ambulatory clinical experiences. Residents use Systems and Practice Analysis for Resident Competencies (SPARC) to identify potential areas for practice improvement. Thirty-three (65%) of 51 residents completed a survey assessing SPARC’s usefulness, with 94% agreeing that it was a useful educational tool. Twenty-six residents (51%) completed a before–after study indicating increased agreement (5-point Likert scale, with 5=strongly agree) with statements regarding confidence in ability to access population-based data about chronic disease management (mean [SD] 2.5 [1.2] vs. 4.5 [0.5], p < .001, sign test) and information comparing their practice style to that of their peers (2.2 [1.2] vs. 4.6 [0.5], p < .001).
- Moore, DE, Pennington, FC (2003) Practice-based learning and improvement. J Contin Educ Health Prof 23: pp. S73-S80 CrossRef
- Accreditation Council of Graduate Medical Education. The ACGME outcome project. Available at: http://www.acgme.org/outcome/. Accessed on August 21, 2007.
- Manning, PR (2003) Practice-based learning and improvement: a dream that can become a reality. J Contin Educ Health Prof 23: pp. S6-S9 CrossRef
- Epstein, RM, Hundert, EM (2002) Defining and assessing professional competence. JAMA 287: pp. 226-235 CrossRef
- Leach, DC (2002) Competence is a habit. JAMA 287: pp. 243-244 CrossRef
- Ogrinc, G, Headrick, LA, Mutha, S, Coleman, MT, O’Donnell, J, Miles, PV (2003) A framework for teaching medical students and residents about practice-based learning and improvement, synthesized from a literature review. Acad Med 78: pp. 748-756 CrossRef
- Schubart J, Lyman J, Scully K, Einbinder J, Knaus W. User-centered Design of a Web-based Tool for Medical Residency Training. In Barker P, Rebelsky S, eds. Proceedings of World Conference on Educational Multimedia, Hypermedia and Telecommunications, Chesapeake, VA. AACE; 2002:1758–63.
- Einbinder, JS, Scully, KW, Pates, RD, Schubart, JR, Reynolds, RE (2001) Case study: a data warehouse for an academic medical center. J Healthc Inf Manag 15: pp. 165-175
- Lyman JA, Cohn W, Knaus W, Einbinder JS. Introducing an academic data warehouse into the undergraduate medical curriculum. Proc. AMIA Symp. 2002:474–8.
- Scully KW, Lyman JA, Stukenborg GJ. Improving quality measurement using multiple data sources. Proc AMIA Symp. 2003:1001.
- Agency for Healthcare Research and Quality. Clinical classifications software (CCS) for ICD-9-CM. Available at: http://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp. Accessed 8/20/2007.
- Voss, JD, Nadkarni, MM, Schectman, JM (2005) The clinical health economics system simulation (CHESS): a teaching tool for systems- and practice-based learning. Acad Med 80: pp. 129-134 CrossRef
- Development of a Web-based Resident Profiling Tool to Support Training in Practice-based Learning and Improvement
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- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Journal of General Internal Medicine
Volume 23, Issue 4 , pp 485-488
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- practice-based learning and improvement
- medical education
- quality improvement
- information technology
- Industry Sectors
- Author Affiliations
- 1. Department of Public Health Sciences, University of Virginia Health System, Charlottesville, VA, USA
- 3. Public Health Sciences, UVA Health System, Charlottesville, VA, USA
- 2. Department of Medicine, University of Virginia Health System, Charlottesville, VA, USA