Tracking the evolution of medical students' clinical documentation skills: a pilot study leveraging a simulated electronic record and a longitudinal panel data analysis - Summary - MDSpire
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Tracking the evolution of medical students' clinical documentation skills: a pilot study leveraging a simulated electronic record and a longitudinal panel data analysis
To evaluate the progression of clinical documentation skills (CDS) of medical students across core clinical rotations using simulation-based assessments.
Key Findings:
CDS scores improved across all domains over the study period.
HPI scores increased by 0.17 points per month (p = 0.01).
Assessment scores increased by 0.15 points (p = 0.02).
Planning scores increased by 0.22 points (p < 0.001).
Assessment scores showed the greatest variability (R2 = 0.42) compared to HPI (R2 = 0.20) and plan (R2 = 0.27).
Interpretation:
Simulation-based longitudinal assessment effectively captured progressive improvements in students' CDS, highlighting the significant influence of rotation-specific factors on performance.
Limitations:
Clerkship-specific variations influenced the degree of improvement, affecting the overall results.
The study was limited to a single institution and a small sample size.
Conclusion:
The study demonstrates the utility of simulation-based assessments in tracking CDS development and suggests the need for targeted feedback strategies to enhance student performance.
