Accepted Type
Facilitated and Dedicated Poster
Code
LP12 - 2
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Innovation
Will the presenter be a:
Resident
Affiliation
Considered for Poster
yes
Title
Junior Pediatric Resident Satisfaction and Confidence in Making Clinical Decisions
Length of Presentation
Background/Purpose
To prepare physicians for independent practice, residency training programs must provide its trainees adequate opportunities to practice making clinical decisions. The University of Calgary Pediatrics Residency Program is working to enhance clinical decision-making opportunities for junior pediatric residents (JR). To date, the patient admission process from the emergency department (ED) to the general pediatrics clinical teaching unit (CTU) has been a senior resident-led role, which ensures safety and efficiency; however, JRs have not been optimally positioned with respect to their role in admissions to practice making clinical decisions.
Summary of the Innovation
Using quality improvement methodology, a series of interventions were implemented into the Alberta Children's Hospital's ED to CTU admission process from August 2019 to June 2020. Online surveys administered to JRs assessed baseline, midway and final time point levels of JR satisfaction with their role in the admission process and JR confidence with their ability to complete an initial patient assessment independently, place admission orders and make decisions on patient care for admissions.
Conclusion
Compared to baseline, final time point levels of JR satisfaction and confidence were increased. Importantly, perceived patient safety in and efficiency of the admission process, measured via online surveys of senior residents at baseline, midway and final timepoints, were greatest at the final time point. These results suggest the interventions implemented in this study were of benefit to JRs. Residency training programs elsewhere can apply the same or similar interventions to enhance clinical decision-making opportunities for residents.
Keyword 1
quality improvement
Keyword 2
clinical decision-making
Level of Training
Post Graduate
Abstract Themes
Teaching and learning
Teaching and Learning
Quality improvement
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Roopa Suppiah
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
