Abstract
Objective
This descriptive study queries the attitudes of psychiatry residents regarding provision of practice habit data to trainees by residency programs, as required by the Accreditation Council for Graduate Medical Education (ACGME). Identifying trainee perspectives may assist program directors in tailoring practice habit data reporting to better engage residents and to increase resident-reported adherence to the ACGME requirement.
Methods
Residents at a large, hospital-based adult psychiatry training program completed an anonymous survey of attitudes regarding practice habit data, including perceptions of the residency program’s current reporting, preferences toward mechanisms of delivering this data, and perceived relative utility of five hypothetical domains of practice habit data.
Results
Of 61 eligible residents, 52 (85%) completed surveys. Only 29 (56%) recalled receiving prior-year individual practice habit data, and only 10 (19%) recalled receiving team-based data. Seventy-five percent desired more practice habit data. Out of five hypothetical thematic domains for practice habit reporting, residents preferred patient-oriented domains as opposed to process-oriented domains. Resident concerns about dissemination of these data included confidentiality, effect on evaluations, and difficulty translating data to changes in clinical practice.
Conclusions
Residents generally desire increased dissemination of practice habit data that focuses on patient-oriented measures such as adherence to disease-specific guidelines and is both individual and team-based. Residency programs may benefit their trainees and improve resident-reported adherence to the ACGME requirement both by taking resident preferences into account and by addressing concerns about confidentiality when providing practice habit data.
References
Resident Survey Key Terms and Content Areas. Accreditation Council for Graduate Medical Education. 2014. http://www.acgme.org/Portals/0/ResidentSurveyKeyTermsContentAreas.pdf. Accessed 22 Mar 2019.
Updates from the Review Committee for Pediatrics. Accreditation Council for Graduate Medical Education. 2016. https://www.acgme.org/Portals/0/PFAssets/Presentations/RC%20update%20APPD%20spring%202016%20v2.pdf. Accessed 20 Dec 2019.
Sequist TD, Singh S, Pereira AG, Rusinak D, Pearson SD. Use of an electronic medical record to profile the continuity clinic experiences of primary care residents. Acad Med. 2005;80(4):390–4.
Rajkomar A, Ranji SR, Sharpe B. Using the electronic health record to identify educational gaps for internal medicine interns. J Grad Med Educ. 2017;9(1):109–12.
Lau BD, Streiff MB, Pronovost PJ, Haider AH, Efron DT, Haut ER. Attending physician performance measure scores and resident physicians’ ordering practices. JAMA Surg. 2015;150(8):813–4.
Qureshi AA, Parikh RP, Myckatyn TM, Tenenbaum MM. Resident cosmetic clinic: practice patterns, safety, and outcomes at an academic plastic surgery institution. Aesthet Surg J. 2016;36(9):NP273–80.
Potthoff S, Presseau J, Sniehotta FF, Johnston M, Elovainio M, Avery L. Planning to be routine: habit as a mediator of the planning-behaviour relationship in healthcare professionals. Implement Sci. 2017;12:24.
Appleby B, Roskell C, Daly W. What are health professionals’ intentions toward using research and products of research in clinical practice? A systematic review and narrative synthesis. Nurs Open. 2016;3(3):125–39.
Acknowledgments
The authors would like to thank the residents of the MGH/McLean Adult Psychiatry Residency for their voluntary participation in this project.
Funding
Philip B. Cawkwell received NIH trainee grant support (NIMH R25-MH094612).
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The authors declare that they have no conflict of interest.
Ethical Considerations
This study was reviewed by the Partners HealthCare IRB, which determined it met exempt status.
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Zebrowski, J.P., Cawkwell, P.B., McCoy, T.H. et al. Psychiatry Resident Attitudes Toward Practice Habit Data. Acad Psychiatry 44, 413–417 (2020). https://doi.org/10.1007/s40596-020-01216-x
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DOI: https://doi.org/10.1007/s40596-020-01216-x