TRainee Attributable & Automatable Care Evaluations in Real-time (TRACERs): A Scalable Approach for Linking Education to Patient Care.


Journal

Perspectives on medical education
ISSN: 2212-277X
Titre abrégé: Perspect Med Educ
Pays: Netherlands
ID NLM: 101590643

Informations de publication

Date de publication:
2023
Historique:
received: 15 04 2023
accepted: 30 04 2023
medline: 24 5 2023
pubmed: 22 5 2023
entrez: 22 5 2023
Statut: epublish

Résumé

Competency-based medical education (CBME) is an outcomes-based approach to education and assessment that focuses on what competencies trainees need to learn in order to provide effective patient care. Despite this goal of providing quality patient care, trainees rarely receive measures of their clinical performance. This is problematic because defining a trainee's learning progression requires measuring their clinical performance. Traditional clinical performance measures (CPMs) are often met with skepticism from trainees given their poor individual-level attribution. Resident-sensitive quality measures (RSQMs) are attributable to individuals, but lack the expeditiousness needed to deliver timely feedback and can be difficult to automate at scale across programs. In this eye opener, the authors present a conceptual framework for a new type of measure - TRainee Attributable & Automatable Care Evaluations in Real-time (TRACERs) - attuned to both automation and trainee attribution as the next evolutionary step in linking education to patient care. TRACERs have five defining characteristics:

Identifiants

pubmed: 37215538
doi: 10.5334/pme.1013
pmc: PMC10198229
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

149-159

Informations de copyright

Copyright: © 2023 The Author(s).

Déclaration de conflit d'intérêts

The authors have no competing interests to declare.

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Auteurs

Jesse Burk-Rafel (J)

Division of Hospital Medicine, NYU Langone Health, and assistant director of Precision Medical Education, Institute for Innovations in Medical Education, NYU Grossman School of Medicine, New York, USA.

Stefanie S Sebok-Syer (SS)

Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA.

Sally A Santen (SA)

University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Joshua Jiang (J)

University of California Los Angeles, Los Angeles, California. At the time of this work he was a medical student, NYU Grossman School of Medicine, New York, USA.

Holly A Caretta-Weyer (HA)

Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA.

Eduardo Iturrate (E)

Data Core, NYU Langone Health, New York, USA.

Matthew Kelleher (M)

Internal Medicine and Pediatrics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Eric J Warm (EJ)

University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Daniel J Schumacher (DJ)

Department of Pediatrics, director of Education Research Unit, Cincinnati Children's Hospital Medical Center/ University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

Benjamin Kinnear (B)

Internal Medicine and Pediatrics, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

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