Journal of Diabetes Medication & Care

Biomedical Automated Data Mining:

  Education and clinical training during undergraduate and graduate medical education is an ever-evolving venture. Over the years, the Residency Review Committee for Neurology of the Accreditation Council for Graduate Medical Education (ACGME) has considered implementing individual resident case logs to assess the quality and breadth of resident education. Case logs are mandatory for several specialties, particularly procedure-based specialties like surgery, obstetrics-gynaecology, and neurological surgery. In 2007, a survey of neurology residents regarding the utility of a web-based, manual patient log system found that most residents entered only 50% of their cases, and 54% of residents were not able to enter the correct International Statistical Classification of Diseases and Related Health Problems (ICD-9) code for the diagnoses in more than 50% of cases. In addition, 53% of responding residents agreed or strongly agreed that case logs interfered with their education, and 40% agreed or strongly agreed that case logs interfered with patient care. Due to these perceived inadequacies, patient logs are now voluntary for neurology residents. Similarly, they are also voluntary for residents in pathology subspecialties and pediatrics. Under the current duty hour limits, and with the proposed institution of added limits on resident hours,  residents from a range of specialties would welcome more efficient methods to comply with case log requirements.    

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