Sharing Is Caring: Helping Institutions and Health Organizations Leverage Data for Educational Improvement.

Competency-based medical education (CBME) has produced large collections of data, which can provide valuable information about trainees and medical education systems. Many organizations continue to struggle with accessing, collecting, governing, analyzing, and visualizing their clinical and/or educational data. This hinders data sharing efforts within and across organizations, which are foundational in supporting system-wide improvements.

Is time spent with the physician associated with parent dissatisfaction due to long waiting times?

The objectives of this study were to assess the relationship between wait time and parent satisfaction and determine whether time with the physician potentially moderated any observed negative effects of long wait time. Data were collected from parents in a pediatric outpatient clinic. Parent satisfaction with the clinic visit was significantly negatively related to wait times.

Enhancing knowledge and clinical skills through an adolescent medicine workshop.

Objective: To determine the effect of a medical school adolescent medicine workshop on knowledge and clinical skills using standardized patients.

Design: Randomized controlled trial.

Setting: The University of Kentucky College of Medicine, Lexington.

Attitudes of Kentucky women regarding mandatory reporting of intimate partner violence.

Background: Kentucky is one of only six states with laws mandating that intimate partner violence be reported to authorities. The purpose of this project was to understand the attitudes of women clinic patients in Kentucky regarding mandatory reporting of intimate partner violence and how these attitudes may differ by abuse status.

Methods: Women presenting to an internal medicine clinic in the summer of 2003 were asked to complete an anonymous 30-item questionnaire, including personal history of abuse and their opinions about mandatory reporting of intimate partner violence to the police.

Student involvement on teaching rounds.

Background: Inpatient internal medicine education occurs in a fragile learning environment. The authors hypothesized that when medical students are involved in teaching rounds, residents may perceive a decrease in value of attending teaching.

Method: During two summer periods, trained research assistants shadowed teaching rounds, tracking patient census and team call status, recording basic content of rounds, and delivering a survey instrument to the learners, asking them to rate the quality of the attending's teaching that day.

Do pressure and fatigue influence resident job performance?

Background: Global surveys of residents have consistently identified stress variables as important factors in resident job performance.

Aims: Determine whether an association exists between resident stress and job performance.

Method: Over a three month period, interns on our inpatient ward services were surveyed regarding their current call schedule, whether their prior night's sleep was sufficient, whether they felt pressed by other commitments, whether they spent enough time teaching medical students and whether they had completed all patient care issues on a given day.

Are continuity clinic patients less satisfied when residents have a heavy inpatient workload?

The purpose of this study was to assess the influence of resident non-clinic workload on the satisfaction of continuity clinic patients. Over a 2-month period in 2002, residents and patients were surveyed at the University of Kentucky internal medicine continuity clinic. Residents provided a self-report of their non-clinic workload as light or medium versus heavy or extremely heavy.

Can physicians improve patient satisfaction with long waiting times?

The purpose of our study was to determine how time spent with the physician might be related to patient dissatisfaction with their waiting time. During a 2-month period, patients in our internal medicine resident continuity clinic completed a survey assessing their satisfaction with their waiting time and their estimates of their waiting time and time spent with the resident physician. For patients with long waiting times (more than 15 min in the waiting room or more than 10 min in the exam room), patient dissatisfaction with waiting time was associated with a shorter physician visit (48% were dissatisfied if the physician spent less than 15 min vs.

Are continuity clinic patients less satisfied when the resident is postcall?

Due to recent public debate and newly imposed resident work hour restrictions, we decided to investigate the relationship of resident call status to their ambulatory patients' satisfaction. Resident continuity clinic patients were asked to rate their level of satisfaction on a 10-point Likert-type scale. Using multiple regression approaches, these data were then assessed as a function of resident call status.