Department of Surgery, Oregon Health and Sciences University, Portland, OR, USA.
Department of Anesthesia and Perioperative Medicine, Oregon Health and Sciences University, Portland, OR, USA.
Am J Surg. 2019 May;217(5):834-838. doi: 10.1016/j.amjsurg.2019.02.027. Epub 2019 Mar 4.
Medical coding knowledge is important for practice. We hypothesized that general surgery residents lack confidence in medical coding (MC) and that implementation of focused didactics would increase resident confidence and knowledge.
A MC curriculum was delivered to general surgery residents covering domains of the global procedural period (GPP), evaluation and management (E/M) coding, and hospital payment and quality metrics (HPQM). A 21-question survey was developed to assess resident comfort coding knowledge. Efficacy of the MC curriculum was measured by anonymous paper pre-test and post-test surveys.
Pre-test (n = 50) findings revealed that residents were uncomfortable with MC. Following three MC lectures, the post-test (n = 24) demonstrated significant increases in resident comfort with MC (p < 0.001) and resident performance on domains of GPP (p = 0.014), E/M (p < 0.001), and HQPM (p = 0.025).
Residents feel uncomfortable with MC without formal education. This study supports a focused curriculum to prepare residents for practice.
医学编码知识对于实践很重要。我们假设普通外科住院医师对医学编码（MC）缺乏信心，并且实施针对性教学将增加住院医师的信心和知识。
为普通外科住院医师提供了涵盖全球程序期（GPP）、评估和管理（E/M）编码以及医院支付和质量指标（HPQM）领域的 MC 课程。开发了一个 21 个问题的调查来评估住院医师的编码知识舒适度。MC 课程的效果通过匿名纸质预测试和后测试调查来衡量。
预测试（n=50）结果表明，住院医师对 MC 感到不舒服。经过三次 MC 讲座后，后测试（n=24）表明住院医师对 MC 的舒适度（p<0.001）以及在 GPP（p=0.014）、E/M（p<0.001）和 HQPM（p=0.025）领域的表现显著提高。
如果没有正规教育，住院医师会对 MC 感到不舒服。本研究支持有针对性的课程，为住院医师的实践做好准备。
