71. GETTING ATTENDINGS IN LINE: A QUALITY IMPROVEMENT APPROACH TO IMPROVING COMPLETION OF ATTENDING WRITTEN FEEDBACK FOR RESIDENT MORNING REPORT

Abstract

Background On the annual ACGME survey, residents are asked to rate their satisfaction with feedback after assignments. For several years at our institution, this rating has steadily declined, with residents defining assignments as morning report presentations. With increasing residents interested in medical education, program leadership prioritized providing attending feedback on resident teaching skills. We employed a QI framework to increase the frequency of residents receiving written feedback from attendings after their presentations. Objective: Increase the frequency with which residents receive written feedback from attendings following a morning report presentation from 0% to 50%. Methods An electronic feedback form was established by the program leadership team. Our initial strategy to obtain written feedback was to ask core faculty to submit written feedback using our traditional evaluation platform (Medhub). This required faculty to log in to the platform and create an evaluation for the resident. Our initial assessment revealed very few residents received feedback with this platform, and, given inconsistent attendance, it was difficult to send evaluation forms to specific attendings. Our second cycle linked the feedback evaluation form to the platform used to track attending attendance for CME credit (eeds). Results Initially, 0% of residents received written feedback after their morning report presentations. After our initial PDSA cycle using our traditional feedback platform, 17% of residents received written feedback on their presentations. During our second PDSA cycle, we transitioned to the attendance tracking platform, at which point 55% of residents received written feedback. Conclusions Linking the evaluation form with attendance was most successful for ensuring that residents receive formal written feedback after morning report presentations. Ongoing efforts are being made to maximize efficiency and completion of evaluations.