Massachusetts General Hospital, Boston, MA, USA.
Stanford University, Stanford, CA, USA.
Acad Psychiatry. 2020 Aug;44(4):413-417. doi: 10.1007/s40596-020-01216-x. Epub 2020 Mar 11.
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.
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.
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.
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.
本描述性研究调查了精神科住院医师对住院医师规范化培训项目（ACGME）要求提供实践习惯数据的态度。确定学员的观点可能有助于项目主任调整实践习惯数据报告，以更好地吸引住院医师，并提高住院医师报告对 ACGME 要求的遵守程度。
一家大型医院成人精神病学培训项目的住院医师完成了一项关于实践习惯数据态度的匿名调查，包括对住院医师项目当前报告的看法、对提供这些数据机制的偏好，以及对五个假设实践习惯数据领域的相对效用的看法。
在 61 名符合条件的住院医师中，有 52 名（85%）完成了调查。只有 29 名（56%）回忆起曾收到过前一年的个人实践习惯数据，只有 10 名（19%）回忆起收到过团队数据。75%的人希望获得更多的实践习惯数据。在五个假设的实践习惯报告主题领域中，住院医师更喜欢以患者为导向的领域，而不是以过程为导向的领域。住院医师对这些数据传播的关注包括保密性、对评估的影响以及将数据转化为临床实践变化的困难。
住院医师普遍希望更广泛地传播以患者为导向的实践习惯数据，如对特定疾病指南的依从性，以及个人和团队的实践习惯数据。住院医师规范化培训项目可以通过考虑住院医师的偏好，并在提供实践习惯数据时解决保密性问题，使他们的学员受益，并提高住院医师报告对 ACGME 要求的遵守程度。
