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CORE: Comprehensive Observations Of Resident Evolution - An Integrated Technology To Assess Plastic Surgery GME
Carisa M. Cooney, MPH1, Scott D. Lifchez, MD1, Damon S. Cooney, MD, PhD1, Branko Bojovic, MD2, Richard Redett, MD1.
1Johns Hopkins School of Medicine, Baltimore, MD, USA, 2University of Maryland Medical Center, Baltimore, MD, USA.

PURPOSE: To create a comprehensive electronic resource facilitating resident feedback and plastic surgery training program compliance with Next Accreditation System Milestones.
METHODS: We designed and piloted a web-based tool to assess residents in the Johns Hopkins / University of Maryland Plastic Surgery Residency: Comprehensive Observations of Resident Evolution (CORE). CORE comprises a rapid electronic assessment of resident operating room performance completed after each surgery; a data dashboard displaying graphical summaries of resident progress by case, Milestone, or CPT code; and an electronic Milestones tracker enabling ongoing global trainee assessments.
RESULTS: Since January 2014, over 1,000 assessments were completed. Trainee data is displayed in real-time and accessible to residents and faculty. The operative assessment demonstrates face validity, distinguishing between novice and experienced residents. Individual case data enables identification of resident-specific operative strengths and weaknesses. Residents reported 38% more immediate operative performance feedback, and our trial Clinical Competency Committee review was 50% shorter than Milestones pilot test site reports.

CONCLUSIONS: We created an electronic system capable of capturing operative performance data on all OR cases by primary CPT code. CORE increases immediate trainee feedback and assessment transparency, enables trainee self-monitoring, and informs end-of-rotation reviews, program-wide assessments, and customization of training to address specific resident needs. These features make CORE a valuable resource through which programs can track resident progress in real-time while complying with evolving ACGME requirements.


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