Milestones: Critical Elements in Clinical Informatics Fellowship Programs
| Autor: | Howard Silverman, Christoph U. Lehmann, Benson S. Munger |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Program evaluation
020205 medical informatics Standardization Specialty Health Informatics 02 engineering and technology State of the Art / Best Practice Paper Health informatics Accreditation Dreyfus model of skill acquisition 03 medical and health sciences 0302 clinical medicine Health Information Management ComputingMilieux_COMPUTERSANDEDUCATION 0202 electrical engineering electronic engineering information engineering Milestone (project management) Humans Medicine 030212 general & internal medicine Medical education business.industry Professional development Internship and Residency Computer Science Applications Clinical Competence business Medical Informatics |
| Zdroj: | Applied Clinical Informatics. :177-190 |
| ISSN: | 1869-0327 |
| DOI: | 10.4338/aci-2015-10-soa-0141 |
| Popis: | SummaryMilestones refer to points along a continuum of a competency from novice to expert. Resident and fellow assessment and program evaluation processes adopted by the ACGME include the mandate that programs report the educational progress of residents and fellows twice annually utilizing Milestones developed by a specialty specific ACGME working group of experts. Milestones in clinical training programs are largely unmapped to specific assessment tools. Residents and fellows are mainly assessed using locally derived assessment instruments. These assessments are then reviewed by the Clinical Competency Committee which assigns and reports trainee ratings using the specialty specific reporting Milestones.The challenge and opportunity facing the nascent specialty of Clinical Informatics is how to optimally utilize this framework across a growing number of accredited fellowships. The authors review how a mapped milestone framework, in which each required sub-competency is mapped to a single milestone assessment grid, can enable the use of milestones for multiple uses including individualized learning plans, fellow assessments, and program evaluation. Furthermore, such a mapped strategy will foster the ability to compare fellow progress within and between Clinical Informatics Fellowships in a structured and reliable fashion. Clinical Informatics currently has far less variability across programs and thus could easily utilize a more tightly defined set of milestones with a clear mapping to sub-competencies. This approach would enable greater standardization of assessment instruments and processes across programs while allowing for variability in how those sub-competencies are taught.A mapped strategy for Milestones offers significant advantages for Clinical Informatics programs. |
| Databáze: | OpenAIRE |
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