Bridgeport Hospital, Department of Emergency Medicine, Bridgeport, Connecticut.
Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut.
West J Emerg Med. 2019 Dec 19;21(1):47-51. doi: 10.5811/westjem.2019.10.44302.
In 2012 the Accreditation Council for Graduate Medical Education implemented trainee milestones as tools for clinical competency committees to use for evaluation, feedback, remediation, and promotion purposes. Prior to this innovation, there has not been an adequate method to capture, organize, and graphically illustrate the evaluations by attendings in a simple, fast and organized fashion.
We created a novel, web-based, mobile-friendly evaluation tool to help fill this identified gap. The survey-based program creates a milestone-based evaluation, takes only a few minutes to complete, and easily collates the results in a graphic format creating an individualized "dashboard." The dashboard is then used by both trainees and their evaluators as a feedback platform.
With the implementation of the dashboard, educational leadership has noted an increase in the number of submitted evaluations of residents and the amount of face-to-face feedback given by attendings to residents. A post-implementation survey of the residents revealed that they found the dashboard-provided feedback more helpful than prior modes of feedback, although the number of evaluations was still too few.
The use of our feedback dashboard is useful to multiple targeted end-users, including general faculty evaluators, program leadership, and the residents themselves for gathering formative feedback that is specific and timely. This tool is adaptable and likely generalizable to other residency programs and specialties.
2012 年,研究生医学教育认证委员会实施了学员里程碑,作为临床能力委员会用于评估、反馈、补救和晋升目的的工具。在此创新之前,还没有一种足够的方法来以一种简单、快速和有组织的方式捕捉、组织和图形化展示主治医生的评估结果。
我们创建了一个新颖的、基于网络的、适合移动设备的评估工具,以帮助填补这一已确定的空白。基于调查的程序创建了基于里程碑的评估,只需几分钟即可完成,并可以轻松地以图形格式整理结果,创建一个个性化的“仪表板”。然后,仪表板可供学员和他们的评估者用作反馈平台。
随着仪表板的实施,教育领导层注意到提交给住院医师的评估数量以及主治医生给住院医师的面对面反馈数量有所增加。实施后的住院医师调查显示,他们发现仪表板提供的反馈比以前的反馈模式更有帮助,尽管评估数量仍然太少。
使用我们的反馈仪表板对多个目标最终用户都很有用,包括普通教师评估者、项目领导和住院医师本身,以收集具体和及时的形成性反馈。该工具具有适应性,可能适用于其他住院医师培训计划和专业。