Assessment & Procedure Training

“Success has to do with deliberate practice. Practice must be focused, determined, and in an environment where there is feedback.” -Malcolm Gladwell

Practice doesn’t make perfect, practice makes permanent. That is why deliberate practice, in which feedback on performance is used to guide improvement, is so important. Having robust assessment systems that are focused on learner improvement are key to developing mastery. This is the over-arching philosophy of our assessment and procedure training systems.

Resident Assessment

Our residents benefit from a robust assessment and feedback system in which they receive data from multiple sources - attendings, peers, nurses, other allied health professionals, and students. Our focus is on using assessment data for formative purposes (assessment FOR learning) rather than only using it for summative purposes (assessment OF learning). Our residents meet regularly with program leadership to review their assessment data, set goals, and develop personalized improvement plans to become the best physician possible.

Med-Peds residents also have access to an advanced patient care dashboard for their clinic patients. This dashboard allows residents to see updated data on the quality of care they deliver for their personal patient panel. This dashboard also allows for deep dynamic searching of data for better population health management and targeted care improvement efforts. We believe this is important because high-quality education requires high-quality clinical care, and data are required for deliberate practice.

Procedure Training

"See one, do one, teach one" is a flawed approach to procedure training that is not optimal for patients or trainees.13,14 Therefore, we have begun developing systems of procedure training based on sound procedural and assessment principles. We ensure that our residents meet the ACGME procedure requirements, while striving to be flexible and meet each resident’s individual procedural training needs.

• There are simulation labs at the College of Medicine, VA Medical Center, and Cincinnati Children’s Hospital Medical Center where the residents are provided with many opportunities to learn.
• Residents have opportunities to perform procedures on numerous inpatient rotations (general wards, CVICU, MICU, PICU, NICU, ED) as well as in Med-Peds clinic.
• Focused procedural experiences include procedure shifts in the Pediatric ED, Advanced Critical Care/Procedure Electives at the UC MICU and the VA, and a point of care ultrasound (POCUS) elective.