Trainee and Program Director Perspectives on Meaningful Patient Attribution and Clinical Outcomes Data

• DOI: 10.4300/jgme-d-19-00730.1
• Publication Date: 2020-04-14T21:03:00Z
• Authors: Glenn Rosenbluth; Michelle S. Tong; Shivany Y. Condor...; Christy Boscardin
• Keywords: Graduate medical education

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 identify meaningful provide them in formats acceptable trainees.We sought understand what types of patients, data/metrics, delivery systems PDs prefer supplying with data.Trainees (n = 21) 12) from multiple specialties participated focus groups during academic year 2017-2018. They described key themes providing trainees.Trainees differed how they identified patients trainees. Trainees were interested encounters where felt a sense responsibility or had autonomy/independent decision-making opportunities, continuity, learned something new; used broader criteria including all cared by their Both thought should be given trainee-level metrics consistently highlighted the importance comparison peers and/or benchmarks. found value "push" "pull" systems, although wanted both, while one other. agreed review faculty. expressed concern about being judged based on patients' outcomes.Trainee PD perspectives which would like differed, but overlapped metrics, formats, processes data.