Case logs

[Anonymous]

Hi  ARCOS,

I am looking for any successful processes used to get your residents to accurately log their cases – rewards, punishments, or anything else your program may have in place.  How does your program overcome the “just reach the minimums” mentality?

 

Also,  does anyone reconcile the residents’ logs against institutional data?  If so what is your process, and which report do you use in the ACGME Case log.

 

Feel free to send a separate email to me at lhamann1@pennstatehealth.psu.edu.

Thanks for any help you can give.

Lynne (PSU)

[Laurel Lewis]

Hi Lynn,

I think it has to be a culture change started by the PD (and Faculty) and then implemented and pushed by your chiefs.  Pulling regular reports can be time consuming but it could be a way to help the chiefs support the agenda regulated by the PD.  This kind of change is always a struggle!!!

We keep tabs on our residents’ case logs and review with them every quarter, so that is their motivation.  Sometimes, they even text me to ask that I not pull their info until last so they can log more cases.  I guess I’m just lucky, but my chiefs do put their feet to the fire, with the support of the PD.  I am, however, not above guilt trips, bargaining, and holding back reimbursements when ignored in other matters!

Good luck with this!

~Laurel

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