title: Development of a Web-based resident profiling tool to support training in practice-based learning and improvement.
abstract: Multiple factors are driving residency programs to explicitly address practice-based learning and improvement (PBLI), yet few information systems exist to facilitate such training. We developed, implemented, and evaluated a Web-based tool that provides Internal Medicine residents at the University of Virginia Health System with population-based reports about their ambulatory clinical experiences. Residents use Systems and Practice Analysis for Resident Competencies (SPARC) to identify potential areas for practice improvement. Thirty-three (65%) of 51 residents completed a survey assessing SPARC's usefulness, with 94% agreeing that it was a useful educational tool. Twenty-six residents (51%) completed a before-after study indicating increased agreement (5-point Likert scale, with 5=strongly agree) with statements regarding confidence in ability to access population-based data about chronic disease management (mean [SD] 2.5 [1.2] vs. 4.5 [0.5], p < .001, sign test) and information comparing their practice style to that of their peers (2.2 [1.2] vs. 4.6 [0.5], p < .001).
authors: Department of Public Health Sciences, University of Virginia Health System, Charlottesville, VA 22908, USA. lyman@virginia.edu
authors: Jason A
authors: JA
authors: Lyman
authors: John
authors: J
authors: Schorling
authors: Mohan
authors: M
authors: Nadkarni
authors: Natalie
authors: N
authors: May
authors: Ken
authors: K
authors: Scully
authors: John
authors: J
authors: Voss
mesh_terms: D000046:Academic Medical Centers; D002983:Clinical Competence; D004503:Education, Medical, Graduate; D006751:Hospital Information Systems; D006801:Humans; D007388:Internal Medicine; D020407:Internet; D007396:Internship and Residency; D008485:Medical Audit; D018794:Problem-Based Learning / Q000379:methods*; D011361:Professional Competence; D011785:Quality Assurance, Health Care / Q000379:methods*; D012984:Software; D014768:Virginia