Open AccessUse of medical chart audits in evaluating resident clinical competence: lessons learned from the development and refinement of a study protocol ( Implications for use in meeting ACGME evaluation requirements )
Author(s) -
Proden Camille,
Carravallah Laura,
Taylor D. Kay
Publication year - 2002
Publication title -
the quality assurance journal
Language(s) - English
Resource type - Journals
eISSN - 1099-1786
pISSN - 1087-8378
DOI - 10.1002/qaj.190
Subject(s) - audit , chart , competence (human resources) , accreditation , protocol (science) , medical education , graduate medical education , medicine , engineering management , process management , engineering , psychology , business , accounting , alternative medicine , social psychology , statistics , mathematics , pathology
Medical chart auditing, one strategy that may be employed to assess resident clinical competence, represents both a tool to evaluate performance, and a vehicle for change. It has been demonstrated that an ongoing chart audit and feedback system can successfully affect resident compliance with practice guidelines and is thus associated with improvements in performance. In the study described here, however, the vehicle for change was an enhanced curriculum, the success of which was subsequently measured via chart audits. Regardless of the primary purpose of such audits, the study investigators gleaned important information about the conduct of the audits that can be applied to current efforts by medical educators to incorporate chart audits into a comprehensive plan to meet new Accreditation Council for Graduate Medical Education (ACGME) program evaluation mandates. Copyright © 2002 John Wiley & Sons, Ltd.