Role of Technology in Self-Assessment and Feedback Among Hospitalist Physicians: Semistructured Interviews and Thematic Analysis
| Autor: | Inna Wanyin Lin, John P. Pollak, Deborah Estrin, Michael Sobolev, Andrew L. Yin, Curtis L. Cole, Pargol Gheissari |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Self-assessment Self-Assessment 020205 medical informatics Process (engineering) hospitalist assessment Lifelong learning digital health feedback Health Informatics Objective data 02 engineering and technology lcsh:Computer applications to medicine. Medical informatics 03 medical and health sciences 0302 clinical medicine Continuing medical education Interview Psychological 0202 electrical engineering electronic engineering information engineering Electronic Health Records Humans 030212 general & internal medicine electronic medical record self-learning Digital Technology Original Paper Medical education learning lcsh:Public aspects of medicine Medical record lcsh:RA1-1270 Digital health Hospitalists lcsh:R858-859.7 Female Thematic analysis Psychology |
| Zdroj: | Journal of Medical Internet Research, Vol 22, Iss 11, p e23299 (2020) Journal of Medical Internet Research |
| ISSN: | 1438-8871 |
| DOI: | 10.2196/23299 |
| Popis: | Background Lifelong learning is embedded in the culture of medicine, but there are limited tools currently available for many clinicians, including hospitalists, to help improve their own practice. Although there are requirements for continuing medical education, resources for learning new clinical guidelines, and developing fields aimed at facilitating peer-to-peer feedback, there is a gap in the availability of tools that enable clinicians to learn based on their own patients and clinical decisions. Objective The aim of this study was to explore the technologies or modifications to existing systems that could be used to benefit hospitalist physicians in pursuing self-assessment and improvement by understanding physicians’ current practices and their reactions to proposed possibilities. Methods Semistructured interviews were conducted in two separate stages with analysis performed after each stage. In the first stage, interviews (N=12) were conducted to understand the ways in which hospitalist physicians are currently gathering feedback and assessing their practice. A thematic analysis of these interviews informed the prototype used to elicit responses in the second stage. Results Clinicians actively look for feedback that they can apply to their practice, with the majority of the feedback obtained through self-assessment. The following three themes surrounding this aspect were identified in the first round of semistructured interviews: collaboration, self-reliance, and uncertainty, each with three related subthemes. Using a wireframe, the second round of interviews led to identifying the features that are currently challenging to use or could be made available with technology. Conclusions Based on each theme and subtheme, we provide targeted recommendations for use by relevant stakeholders such as institutions, clinicians, and technologists. Most hospitalist self-assessments occur on a rolling basis, specifically using data in electronic medical records as their primary source. Specific objective data points or subjective patient relationships lead clinicians to review their patient cases and to assess their own performance. However, current systems are not built for these analyses or for clinicians to perform self-assessment, making this a burdensome and incomplete process. Building a platform that focuses on providing and curating the information used for self-assessment could help physicians make more accurately informed changes to their own clinical practice and decision-making. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|