Publications by authors named "A Krumm"
Proximity to Practice: The Role of Technology in the Next Era of Assessment.
Perspect Med Educ
December 2024
The integration of technology into health professions assessment has created multiple possibilities. In this paper, we focus on the challenges and opportunities of integrating technologies that are used during clinical activities or that are completed by raters after a clinical encounter. In focusing on technologies that are more proximal to practice, we identify tradeoffs with different data collection approaches.
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- The paper discusses the growing integration of technology in health care and education, focusing on how digital evidence informs assessment claims.
- It introduces four key sets of terms—primary vs. secondary data, structured vs. unstructured data, development vs. use, and deterministic vs. generative data—to analyze the application of digital sources in evaluating learners' knowledge and abilities.
- Through various examples, the paper illustrates how these terms can benefit both the creators and users of technology-driven assessment systems.
Objective: Up to 40% of pediatric surgery procedures occur at adult hospitals. We aim to evaluate how competent graduating general surgery residents are to perform common pediatric surgery procedures.
Design: Pediatric and adult inguinal (IH) and umbilical (UH) hernia operative evaluations were collected.
Article Synopsis
- This study examines the impact of completing a preliminary surgery year on the performance and autonomy of general surgery residents during their training.
- It compares operative performance and autonomy ratings between residents who completed a nondesignated preliminary year ("Previous Prelim") and those who entered traditional categorical positions directly.
- The analysis revealed no significant differences in competency ratings between the two groups over five years of training, suggesting that preliminary surgical positions do not negatively affect future residents' performance.
Teamwork and effective communication between all health care staff members are essential to providing safe, high-quality patient care. High-reliability organizations align behavioral expectations with organizational values and prioritize safety over other performance metrics and pressures. Communication breakdowns, such as inadequate or incomplete information shared between caregivers, continues to be an issue that is linked to errors and staff member dissatisfaction.
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