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EFFECTIVE USE OF PORTFOLIO FOR COMPETENCY MEASUREMENT. Sandhya Samavedam. Measuring clinical competencies is a difficult task Students and residents should be able to track their own professional and personal growth. - PowerPoint PPT Presentation
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EFFECTIVE USE OF PORTFOLIO FOR COMPETENCY MEASUREMENT
Sandhya Samavedam
• Measuring clinical competencies is a difficult task
• Students and residents should be able to track their own professional and personal growth.
• Self-reflective goals should be compared with outcomes in the form of evaluations, examination scores, personal experiences and acquisition of competencies.
• We use electronic portfolio to track clinical competencies and residents’ learning experiences.
• The portfolio is constantly modified as the needs of the residency program changes.
Learner
• Learners are typically PGY1 residents.• Portfolio helps in early identification of
residents who are lagging in meeting the educational requirements through milestones tracking.
• This is to accommodate varying learning needs among different residents.
Manager and Teachers
• Typically PGY2s are managers. Learners become managers when the required competencies are achieved.
• Managers become teachers when they acquire the confidence and competence to teach.
• There may be teachers among PGY2s. Some may take time to become teachers. Those residents are left as managers till they become teachers.
• To promote from learners to managers to teachers, we need effective tracking of evaluations, scholarly activities, personal experiences, scores, certifications etc.
• Hence electronic portfolio is a great platform to track ones own progress and also for mentoring purposes.
LEARNERS
• EVALUATIONS• ATTENDANCE AT CONFERENCE• CASE REVIEWS FOR INPATIENT MODULES• NIGHT FLOAT - CASE REVIEWS, MINI-CEXs,
DOCUMENTATION OF PROFESSIONALISM, DOCUMENTATION OF PARTICIPATION IN MORNING REPORTS.
• SELF-EVALUATIONS AND REFLECTIONS.• MINI-CEXs
MANAGERS
• EVALUATIONS FROM PEERS, ATTENDINGS, CHIEF RESIDENT
• MORNING REPORT PARTICIPATION• ACTIVE INTERDISCIPLINARY MEETING
CONTRIBUTION• GRAND ROUNDS AND M&M PRESENTATIONS.• JOURNAL CLUB PRESENTATION.
TEACHERS
• RESIDENTS ARE PROMOTED AS TEACHERS BASED ON THEIR EVALUATIONS, ESPECIALLY IN INTERPERSONAL COMMUNICATION AND SKILLS AND TEACHING SKILLS.
MINI CEXS
• NEED FOR DOCUMENTATION OF SKILLS (OTHER THAN PROCEDURES)
• DIRECT SUPERVISION• ENTRUSTABLE PROFESSIONAL ACTIVITIES
MINI CEXs• HISTORY AND PHYSICAL EACH ROTATION • CONSULT MINI CEX EACH ROTATION• DISCHARGE CEX EACH ROTATION• ACUTE ABDOMEN CEX• TRANSFER CEX • ICU CEX• NEUROLOGICAL CEX• OUTPATIENT CEX EACH ROTATION• CHRONIC CARE CEX EACH ROTATION• CODE CEX
• Learners need only the following mini-cexs– History and physical– Discharge CEX after 6 months of training– Chronic care CEX– Outpatient CEX– Neurological CEX– Acute abdomen CEX after atleast 6 months of
training.
MINI CEX
• PERFORMANCE IS DOCUMENTED WITH COMMENTS
• BASED ON THESE, COMPETENCIES CAN BE MEASURED
• EPAs CAN BE DETERMINED ESPECIALLY FOR LEARNERS
PROCEDURES
• ACGME MANDATORY PROCEDURAL DOCUMENTATION
• PROCEDURE MODULES AND TESTS• PERFORMANCE AND COMMENTS• MANDATORY ANESTHESIA ROTATION WITH
PROCEDURAL EVALUATIONS
NIGHT FLOAT • CASE PRESENTATION IN THE MORNING WITH
BEDSIDE TEACHING AT LEAST TWICE A WEEK• EVALUATIONS• DOCUMENTATION OF CASE REVIEWS• DOCUMENTATION OF DIFFICULT SITUATIONS• DOCUMENTATION OF PROFESSIONALISM• SELF REFELCTION• MINI-CEXs• MORNING REPORT ATTENDANCE• SUPERVISED SIGNOUTS ONCE A WEEK
EVALUATIONS• MINI CEXS• PEERS• ATTENDINGS• NURSES• CHIEF RESIDENTS• 360 DEGREE• MENTORS• PATIENTS• PROGRAM DIRECTOR
PATIENT FEEDBACK
• OUTPATIENT SETTING• INPATIENT FEEDBACK• PATIENT SATISFACTION MEASURES• RESIDENTS PROBLEM LIST SHOULD MATCH
WITH PATIENT’S AGENDA FOR THE CLINIC VISIT (AS MEASURED FROM THE PATIENT SATISFACTION SURVEY.)
EXAMS AND QUIZZES
• ITE• QUIZZES BASED ON WEAK AREAS
SCHOLARLY ACTIVITIES
• CASE REPORTS FOR PGY1• QUALITY IMPROVEMENT FOR PGY2• RESEARCH OR SYSTEMATIC REVIEWS FOR
PGY3 (SENIOR PRESENTATION)
MENTOR - MENTEE EVALUATION
• ASSESS STRESS LEVELS• CASE LOGS ENTRY• EVALUATIONS• PRESENTATIONS• EDUCATIONAL GOAL SETTING• CAREER PLANNING
PROPOSED ADDITIONAL ACGME COMPETENCY
• COST-CONSCIOUS CARE• CURRENTLY PART OF SYSTEMS BASED PRACTICE.• TEAM WORKING ON EVALUATING RESIDENTS IN
DECISIONS MAKING ABOUT IMAGING STUDIES, CONSULTS, DAILY BLOOD WORK ETC.
• ALSO EVALUATE ABOUT KNOWLEDGE ABOUT COSTS INVOLVED IN VARIOUS PATIENT CARE ARENAS
References
• www.acgme.org/acwebsite/RRC_280/280_corecomp.asp