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建立医学教育成果中心:发展研究。

Building a Medical Education Outcomes Center: Development Study.

作者信息

Rosenberg Mark E, Gauer Jacqueline L, Smith Barbara, Calhoun Austin, Olson Andrew P J, Melcher Emily

机构信息

Office of Medical Education, University of Minnesota Medical School, Minneapolis, MN, United States.

Office of Health Sciences Technology, University of Minnesota, Minneapolis, MN, United States.

出版信息

JMIR Med Educ. 2019 Oct 31;5(2):e14651. doi: 10.2196/14651.

Abstract

BACKGROUND

Medical education outcomes and clinical data exist in multiple unconnected databases, resulting in 3 problems: (1) it is difficult to connect learner outcomes with patient outcomes, (2) learners cannot be easily tracked over time through the education-training-practice continuum, and (3) no standard methodology ensures quality and privacy of the data.

OBJECTIVE

The purpose of this study was to develop a Medical Education Outcomes Center (MEOC) to integrate education data and to build a framework to standardize the intake and processing of requests for using these data.

METHODS

An inventory of over 100 data sources owned or utilized by the medical school was conducted, and nearly 2 dozen of these data sources have been vetted and integrated into the MEOC. In addition, the American Medical Association (AMA) Physician Masterfile data of the University of Minnesota Medical School (UMMS) graduates were linked to the data from the National Provider Identifier (NPI) registry to develop a mechanism to connect alumni practice data to education data.

RESULTS

Over 160 data requests have been fulfilled, culminating in a range of outcomes analyses, including support of accreditation efforts. The MEOC received data on 13,092 UMMS graduates in the AMA Physician Masterfile and could link 10,443 with NPI numbers and began to explore their practice demographics. The technical and operational work to expand the MEOC continues. Next steps are to link the educational data to the clinical practice data through NPI numbers to assess the effectiveness of our medical education programs by the clinical outcomes of our graduates.

CONCLUSIONS

The MEOC provides a replicable framework to allow other schools to more effectively operate their programs and drive innovation.

摘要

背景

医学教育成果和临床数据存在于多个互不关联的数据库中,导致三个问题:(1)难以将学习者的成果与患者的成果相联系;(2)难以在整个教育-培训-实践连续过程中持续跟踪学习者;(3)没有标准方法来确保数据的质量和隐私。

目的

本研究的目的是建立一个医学教育成果中心(MEOC),以整合教育数据,并构建一个框架来规范使用这些数据的请求的接收和处理。

方法

对医学院拥有或使用的100多个数据源进行了清查,其中近24个数据源已通过审核并整合到MEOC中。此外,明尼苏达大学医学院(UMMS)毕业生的美国医学协会(AMA)医师主文件数据与国家提供者识别码(NPI)注册中心的数据相链接,以建立一种将校友实践数据与教育数据相联系的机制。

结果

已完成160多项数据请求,最终进行了一系列成果分析,包括对认证工作的支持。MEOC在AMA医师主文件中收到了13092名UMMS毕业生的数据,并能够将其中10443人与NPI编号相链接,并开始探索他们的执业人口统计学特征。扩大MEOC的技术和运营工作仍在继续。下一步是通过NPI编号将教育数据与临床实践数据相链接,以根据我们毕业生的临床结果评估我们医学教育项目的有效性。

结论

MEOC提供了一个可复制的框架,使其他学校能够更有效地运营其项目并推动创新。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1685/6856860/c8b5fd9f67d9/mededu_v5i2e14651_fig1.jpg

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