Lypson university of michigan abim poster lypson final (2)

705 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
705
On SlideShare
0
From Embeds
0
Number of Embeds
147
Actions
Shares
0
Downloads
5
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Lypson university of michigan abim poster lypson final (2)

  1. 1. EVALUATION OF CORE COMPETENCIES AT BASELINE: HOW CAN THIS INFORMATION USED?<br />Monica L. Lypson MD1,2, Hilary M. Haftel, MD MHPE2,3, Sonya Miller, MD4, Joel Purkiss, PhD5<br />1Office of Graduate Medical Education, 2Department of Internal Medicine, 3Department of Pediatrics, 4 Department of Physical Medicine & Rehabilitation, 5Office of Medical Education, <br />University of Michigan Health System, Ann Arbor, MI, USA<br />METHODS<br />ABSTRACT<br />BACKGROUND/OBJECTIVES:<br />The Post-Graduate Orientation Assessment (POA) was developed to determine intern baseline proficiency.<br />Since 2002 there have been 1342 residents who have taken the POA, 1255 of those are interns.<br />POA Content:<br /> 1. Focuses on knowledge and skills needed during the first 6-18 weeks of their residency.<br /> 2. Emphasizes clinical situations that are often encountered without formal supervision.<br />METHODS:<br /> - Assessments include: hand-off, informed consent, geriatric functional assessment (or pediatric history taking), aseptic technique, evidence-based medicine, diagnostic images, critical laboratory values, order writing, cross-cultural communication, surgical fire safety, and pain assessment. <br />RESULTS:<br /> - The POA Overall Score represents a moderate, statistically significant predictor of future performance.<br />CONCLUSIONS:<br /> 1. Hospital orientation proves to be an ideal time to gather initial performance data on entering post-graduate trainees. <br /> 2. Baseline performance on the ACGME general competencies maybe a predictor of future board performance.<br />NEXT STEPS:<br /> - Many institutions/ program have adopted an intern assessment. <br /> - Further work is needed on the predictive value of the POA.<br /> - Curriculum efforts must be adjusted to reflect intern deficits. <br />ASSESSMENT ENVIRONMENT<br />RESULTS<br /><ul><li>The POA Overall Score represents a moderate, statistically significant predictor of the American Board of Pediatrics Board Percent Correct Score (R=0.398, p=0.044, n=26).
  2. 2. We have identified a trend that the POA Overall Score is a predictor of performance on the in-training examination in Physical Medicine & Rehabilitation, although not statistically significant (R=.546, p=0.066, n=12).</li></ul>RESULTS<br />POA CONTENT & ASSESSMENT TECHNIQUE<br /><ul><li>PMR In-training Exam Correlations</li></ul>CONCLUSIONS<br /><ul><li>Hospital orientation proves to be an ideal time to gather initial performance data on entering post-graduate trainees.
  3. 3. Baseline performance on the ACGME general competencies maybe a predictor of future board performance.
  4. 4. Many institutions/ programs have adopted an intern assessment.
  5. 5. Further work is needed on the predictive value of the POA.
  6. 6. There are predictable gaps noted from the transition from UME to GME, curriculum efforts must be adjusted to reflect intern deficits.
  7. 7. 79.5%
  8. 8. 62.6%
  9. 9. 77.8%
  10. 10. 76.6%
  11. 11. 1342 residents have taken the POA
  12. 12. Blueprint developed by Program Directors
  13. 13. Collaborative relationships with Hospital Joint Commission Planners & Quality Officers</li></ul>For additional information please contact:<br />Monica L. Lypson, MD FACP<br />Associate Professor of Internal Medicine, Assistant Dean of Graduate Medical Education<br /><ul><li>University of Michigan, 2600 Green Road, #150, SPC 5791, Ann Arbor, MI 48105
  14. 14. Telephone: 734-764-3186, mlypson@umich.edu</li>

×