J Grad Med Educ. 2020 Jun;12(3):295-302. doi: 10.4300/JGME-D-19-00730.1.
The Accreditation Council for Graduate Medical Education specifies that trainees must receive clinical outcomes and quality benchmark data at specific levels related to institutional patient populations. Program directors (PDs) are challenged to identify meaningful data and provide them in formats acceptable to trainees.
We sought to understand what types of patients, data/metrics, and data delivery systems trainees and PDs prefer for supplying trainees with clinical outcomes data.
Trainees (n = 21) and PDs (n = 12) from multiple specialties participated in focus groups during academic year 2017-2018. They described key themes for providing clinical outcomes data to trainees.
Trainees and PDs differed in how they identified patients for clinical outcomes data for trainees. Trainees were interested in encounters where they felt a sense of responsibility or had autonomy/independent decision-making opportunities, continuity, or learned something new; PDs used broader criteria including all patients cared for by their trainees. Both groups thought trainees should be given trainee-level metrics and consistently highlighted the importance of comparison to peers and/or benchmarks. Both groups found value in "push" and "pull" data systems, although trainees wanted both, while PDs wanted one or the other. Both groups agreed that trainees should review data with specific faculty. Trainees expressed concern about being judged based on their patients' clinical outcomes.
Trainee and PD perspectives on which patients they would like outcomes data for differed, but they overlapped for types of metrics, formats, and review processes for the data.
研究生医学教育认证委员会规定，受训者必须在与机构患者群体相关的特定级别获得临床结果和质量基准数据。项目主任（PD）面临着识别有意义的数据并以受训者可接受的格式提供数据的挑战。
我们试图了解受训者和 PD 希望为受训者提供临床结果数据时，他们更喜欢哪种类型的患者、数据/指标和数据传递系统。
2017-2018 学年，来自多个专业的 21 名受训者和 12 名 PD 参加了焦点小组。他们描述了为受训者提供临床结果数据的关键主题。
受训者和 PD 在如何为受训者确定临床结果数据的患者方面存在差异。受训者对他们感到有责任感或有自主权/独立决策机会、连续性或学到新东西的遭遇感兴趣；PD 使用更广泛的标准，包括他们受训者照顾的所有患者。两组都认为受训者应该获得学员级别的指标，并一直强调与同行和/或基准进行比较的重要性。两组都发现“推送”和“拉取”数据系统有价值，尽管受训者希望两者都有，而 PD 希望有一个或另一个。两组都同意受训者应与特定教师一起查看数据。受训者对基于患者的临床结果来评判他们表示担忧。
受训者和 PD 对他们希望获得哪些患者的结果数据的看法不同，但他们在指标类型、数据格式和数据审查流程方面存在重叠。
