Automated Procedure Logs for Cardiology Fellows: A New Training Paradigm in the Era of Electronic Health Records.
Journal
Journal of graduate medical education
ISSN: 1949-8357
Titre abrégé: J Grad Med Educ
Pays: United States
ID NLM: 101521733
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
17
06
2020
revised:
11
09
2020
revised:
15
11
2020
accepted:
17
11
2020
entrez:
8
3
2021
pubmed:
9
3
2021
medline:
29
7
2021
Statut:
ppublish
Résumé
Procedural experience for residents and fellows is critical for achieving competence, and documentation of procedures performed is required. Procedure logs serve as the record of this experience, but are commonly generated manually, require substantial administrative effort, and cannot be corroborated for accuracy. We developed and implemented a structured clinical-educational report template (CERT), which automatically generates procedure logs directly from the clinical record. Our CERT aimed to replace the post-procedure note template for our cardiac catheterization laboratory and was incorporated into the electronic health record system. Numbers of documented procedures in automated CERT-derived procedure logs over a 1-year post-intervention period (2018-2019) were compared to manual logs and corrected for clinical volume changes. The CERT's impact on fellowship experience was also assessed. Automated CERT procedure logs increased weekly procedural documentation over manual procedure logs for total procedures (24.2 ± 6.1 vs 17.1 ± 6.8, A novel CERT allows procedure logs to be automatically derived from the clinical record and increased the number of documented procedures, compared to manual logging. This innovation ensures an accurate record of procedural experience and reduces self-reported non-educational administrative time for cardiology fellows.
Sections du résumé
BACKGROUND
BACKGROUND
Procedural experience for residents and fellows is critical for achieving competence, and documentation of procedures performed is required. Procedure logs serve as the record of this experience, but are commonly generated manually, require substantial administrative effort, and cannot be corroborated for accuracy.
OBJECTIVE
OBJECTIVE
We developed and implemented a structured clinical-educational report template (CERT), which automatically generates procedure logs directly from the clinical record.
METHODS
METHODS
Our CERT aimed to replace the post-procedure note template for our cardiac catheterization laboratory and was incorporated into the electronic health record system. Numbers of documented procedures in automated CERT-derived procedure logs over a 1-year post-intervention period (2018-2019) were compared to manual logs and corrected for clinical volume changes. The CERT's impact on fellowship experience was also assessed.
RESULTS
RESULTS
Automated CERT procedure logs increased weekly procedural documentation over manual procedure logs for total procedures (24.2 ± 6.1 vs 17.1 ± 6.8,
CONCLUSIONS
CONCLUSIONS
A novel CERT allows procedure logs to be automatically derived from the clinical record and increased the number of documented procedures, compared to manual logging. This innovation ensures an accurate record of procedural experience and reduces self-reported non-educational administrative time for cardiology fellows.
Identifiants
pubmed: 33680308
doi: 10.4300/JGME-D-20-00642.1
pmc: PMC7901634
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
103-107Déclaration de conflit d'intérêts
Conflict of interest: The authors declare they have no competing interests.
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