COMSEP 2008 Atlanta Meeting
Using the PDA Clinical Encounter Log as a Curriculum Management Tool
Lee Todd Miller, Kate Perkins, Angelika Rampa, and LuAnn Wilkerson
David Geffen School of Medicine at UCLA
Background: For a core pediatric clerkship in which students are assigned to one of four different clerkship sites, there are ongoing challenges to ensuring that the educational experiences are comparable at each of these sites. In an effort to provide as consistent an experience as possible for our students, we have implemented a core conditions logbook requirement to be completed by students via the Web or PDA (personal digital assistant). Although initially designed to meet the ED-2 LCME requirement, we quickly realized that we could utilize site-specific PDA results data to conduct a needs assessment of our curriculum, and to make significant improvements in the uniformity and quality of the educational experiences across sites.
Objective: To summarize the significant differences in the educational experience that were identified by comparing the student-reported (PDA) clinical encounter data, across our four sites, and how the analysis these data facilitated a needs assessment and subsequent curricular change. Some of the resulting interventions have included the following:
1. Creation of a clerkship-wide centralized day-long Orientation Program for students from all sites, to include introductory sessions on the pediatric “History and Physical Examination,” and a hands-on physical examination workshop.
2. Introduction of a clerkship-wide centralized pediatric radiology teaching experience at the start of the clerkship for students from all sites, so that students may benefit from this foundation throughout their subsequent six week clerkship experience.
3. Modifications in the didactic teaching program at each of the sites to correct for different clinical experiences among sites.
4. Comparison of site-specific logbook data against established COMSEP goals and objectives to stimulate curricular change at each site (for example, the addition of simulated patient experiences or case presentations to remedy gaps secondary to seasonality or differences in patient populations between sites).