Measuring Training Disruptions Using an Informatics Based Tool.

Year of Publication


Date Published

2022 Mar 16

ISSN Number



<p><strong>OBJECTIVE: </strong>Training disruptions, such as planned curricular adjustments or unplanned global pandemics, impact residency training in ways that are difficult to quantify. Informatics-based medical education tools can help measure these impacts. We tested the ability of a software platform driven by electronic health record data to quantify anticipated changes in trainee clinical experiences during the COVID-19 pandemic.</p>

<p><strong>METHODS: </strong>We previously developed and validated the Trainee Individualized Learning System (TRAILS) to identify pediatric resident clinical experiences (i.e. shifts, resident provider-patient interactions (rPPIs), and diagnoses). We used TRAILS to perform a year-over-year analysis comparing pediatrics residents at a large academic children's hospital during March 15 - June 15 in 2018 (Control #1), 2019 (Control #2) and 2020 (Exposure).</p>

<p><strong>RESULTS: </strong>Residents in the exposure cohort had fewer shifts than those in both control cohorts (p &lt; 0.05). rPPIs decreased an average of 43% across all PGY levels, with interns experiencing a 78% decrease in Continuity Clinic. Patient continuity decreased from 23% to 11%. rPPIs with common clinic and emergency department diagnoses decreased substantially during the exposure period.</p>

<p><strong>CONCLUSIONS: </strong>Informatics tools like TRAILS may help program directors understand the impact of training disruptions on resident clinical experiences and target interventions to learners' needs and development.</p>



Alternate Title

Acad Pediatr




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