Mapping hospital data to characterize residents’ educational experiences

Rhee, David W; Reinstein, Ilan; Jrada, Morris; Pendse, Jay; Cocks, Patrick; Stern, David; Sartori, Daniel J.

doi:10.1186/s12909-022-03561-x

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…17 23 With the number and distribution of training programs in Brazil, clinical experiences may vary according to the program. 24,25 Thus, ophthalmology residency accreditation systems must consider local epidemiology and program pro les as well as validate the different programs within their characteristics. The importance of context in accreditation, licensing, or certi cation processes is a current topic under discussion in the relevant literature.…”

Section: Resultsmentioning

confidence: 99%

Curriculum satisfaction of graduates of medical residency in ophthalmology

Guimaraes

Amaral

Carvalho

2022

Preprint

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Background The number of ophthalmologists trained in Brazil has increased, but their satisfaction with the medical residency curriculum is unclear. The purpose of this study is to evaluate the satisfaction and self-confidence of graduates of a reference ophthalmology residency program in Brazil. To analyze whether there is a difference in these parameters among those who graduated in different decades. Methods This is a cross-sectional web-based study conducted in 2022 with 379 ophthalmologists who graduated from the Faculty of Medical Sciences of the State University of Campinas (UNICAMP), Brazil. We aim to obtain data on satisfaction and self-confidence in clinical and surgical practices. Results In total, 150 questionnaires were completed (41.68% response rate); 104 respondents (65.8%) completed their medical residency between 2010 and 2022, 34 between 2000 and 2009, and only 20 before 2000. Most respondents were satisfied or very satisfied with their programs (98.7%). Respondents reported insufficient exposure to low vision rehabilitation (62.9%), toric intraocular implants (60.4%), refractive surgery (55.3%), and orbital trauma surgery (84.9%), particularly among graduates before 2010. They also reported insufficient training in certain non-clinical areas, such as office management (62.5%), health insurance management (88.7%), and personnel and administration skills (74.2%). We found that respondents who graduated a long time ago, had higher confidence in clinical and surgical practices. Conclusions Brazilian ophthalmology residents and UNICAMP graduates expressed high levels of satisfaction with their residency training programs. Those who completed the program a long time ago appear to have more confidence in clinical and surgical practices.

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Section: Resultsmentioning

confidence: 99%

Curriculum satisfaction of graduates of medical residency in ophthalmology

Guimaraes

Amaral

Carvalho

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…With the number and distribution of training programs in Brazil, clinical experiences may vary according to the program [28,29]. Thus, ophthalmology residency accreditation systems must consider local epidemiology and program profiles as well as validate the different programs within their characteristics.…”

Section: Establishing a Medical Curriculum In A Large Countrymentioning

confidence: 99%

Curriculum satisfaction of graduates of medical residency in ophthalmology

2023

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Background The number of ophthalmologists trained in Brazil has increased, but their satisfaction with the medical residency curriculum is unclear. The purpose of this study is to evaluate the satisfaction and self-confidence of graduates of a reference ophthalmology residency program in Brazil and to analyze whether there is a difference in these parameters among those who graduated in different decades. Methods This is a cross-sectional web-based study conducted in 2022 with 379 ophthalmologists who graduated from the Faculty of Medical Sciences of the State University of Campinas (UNICAMP), Brazil. We aim to obtain data on satisfaction and self-confidence in clinical and surgical practices. Results In total, 158 questionnaires were completed (41.68% response rate); 104 respondents completed their medical residency between 2010 and 2022, 34 between 2000 and 2009, and only 20 before 2000. Most respondents were satisfied or very satisfied with their programs (98.7%). Respondents reported insufficient exposure to low vision rehabilitation (62.7%), toric intraocular implants (60.8%), refractive surgery (55.7%), and orbital trauma surgery (84.8%), particularly among graduates before 2010. They also reported insufficient training in certain non-clinical areas, such as office management (61.4%), health insurance management (88.6%), and personnel and administration skills (74.1%). We found that respondents who graduated a long time ago had higher confidence in clinical and surgical practices. Conclusions Brazilian ophthalmology residents and UNICAMP graduates expressed high levels of satisfaction with their residency training programs. Those who completed the program a long time ago appear to have more confidence in clinical and surgical practices. There were clinical and non-clinical areas with insufficient training identified for improvement.

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Variation in Case Exposure During Internal Medicine Residency

Lam,

Tang,

Liu

et al. 2024

JAMA Netw Open

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ImportanceVariation in residency case exposure affects resident learning and readiness for future practice. Accurate reporting of case exposure for internal medicine (IM) residents is challenging because feasible and reliable methods for linking patient care to residents are lacking.ObjectiveTo develop an integrated education-clinical database to characterize and measure case exposure variability among IM residents.Design, Setting, and ParticipantsIn this cohort study, an integrated educational-clinical database was developed by linking patients admitted during overnight IM in-hospital call shifts at 5 teaching hospitals to senior on-call residents. The senior resident, who directly cares for all overnight IM admissions, was linked to their patients by the admission date, time, and hospital. The database included IM residents enrolled between July 1, 2010, and December 31, 2019, in 1 Canadian IM residency. Analysis occurred between August 1, 2023, and June 30, 2024.Main Outcomes and MeasuresCase exposure was defined by patient demographic characteristics, discharge diagnoses, volumes, acuity (eg, critical care transfer), medical complexity (eg, Charlson Comorbidity Index), and social determinants of health (eg, from long-term care). Residents were grouped into quartiles for each exposure measure, and the top and bottom quartiles were compared using standardized mean difference (SMD). Variation between hospitals was evaluated by calculating the SMD between the hospitals with the highest and lowest proportions for each measure. Variation over time was assessed using linear and logistic regression.ResultsThe integrated educational-clinical database included 143 632 admissions (median [IQR] age, 71 [55-83] years; 71 340 [49.7%] female) linked to 793 residents (median [IQR] admissions per shift, 8 [6-12]). At the resident level, there was substantial variation in case exposure for demographic characteristics, diagnoses, volumes, acuity, complexity, and social determinants. For example, residents in the highest quartile had nearly 4 times more admissions requiring critical care transfer compared with the lowest quartile (3071 of 30 228 [10.2%] vs 684 of 25 578 [2.7%]; SMD, 0.31). Hospital-level variation was also significant, particularly in patient volumes (busier hospital vs less busy hospital: median [IQR] admissions per shift, 10 [8-12] vs 7 [5-9]; SMD, 0.96). Over time, residents saw more median (IQR) admissions per shift (2010 vs 2019: 7.6 [6.6-8.4] vs 9.0 [7.6-10.0]; P = .04) and more complex patients (2010 vs 2019: Charlson Comorbidity Index ≥2, 3851 of 13 762 [28.0%] vs 2862 of 8188 [35.0%]; P = .03), while working similar shifts per year (median [IQR], 11 [8-14]).ConclusionsIn this cohort study of IM residents in a Canadian residency program, significant variation in case exposure was found between residents, across sites, and over time.

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Mapping hospital data to characterize residents’ educational experiences

Cited by 5 publications

References 12 publications

Curriculum satisfaction of graduates of medical residency in ophthalmology

Curriculum satisfaction of graduates of medical residency in ophthalmology

Curriculum satisfaction of graduates of medical residency in ophthalmology

Variation in Case Exposure During Internal Medicine Residency

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