A practice-profiling system for residents
Autor: | Mark A. Callahan, David S. Battleman, Oliver Fein |
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Rok vydání: | 2002 |
Předmět: |
medicine.medical_specialty
education Education Patient satisfaction medicine Diabetes Mellitus Internal Medicine Profiling (information science) Humans Reimbursement Internet Physician-Patient Relations Evidence-Based Medicine business.industry Data Collection Internship and Residency Peer group General Medicine Outcome and Process Assessment Health Care Education Medical Graduate Family medicine Hypertension Employee Performance Appraisal Managed care The Internet Clinical Competence Psychology business Strengths and weaknesses Residency training |
Zdroj: | Academic medicine : journal of the Association of American Medical Colleges. 77(1) |
ISSN: | 1040-2446 |
Popis: | Providers are increasingly evaluated and measured as part of quality, credentialling, and reimbursement programs, an approach often used by managed care organizations. However, these evaluations are rarely used in residency training, meaning that physicians entering practice have little experience or understanding of these measures. To address this issue, in 1998 the authors successfully developed a three-part practice-profiling system for internal medicine residents at their institution that includes measures of patient satisfaction, disease-management profiles for diabetes and hypertension, and an Internet-based faculty-evaluation program. The patient-satisfaction profile utilizes a ten-question patient survey that emphasizes physician-patient communication issues. The diabetes and hypertension disease-management profiles use the resident's own patients to profile process and outcome measures for common chronic ambulatory conditions. The faculty-evaluation profile is conducted over the Internet, and allows the resident to compare faculty evaluations with those of his or her peer group. Residents receive the profiles as a packet in a scheduled session with a faculty supervisor twice each year. A total of 120 residents are profiled annually for the above measures. Residents rated the program very highly, and found the profiling program to be instructive and effective feedback. As payers and regulators increasingly use physician profiling, residents will benefit from learning the strengths and weaknesses of profiling systems early in their training. |
Databáze: | OpenAIRE |
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