Developing Equity Report Cards for Residents Training in Primary Care.

Abstract

Most residency programs do not provide trainees with health equity data for their clinic patients. Equity report cards were developed for internal and family medicine residents in a large health system. After considering which equity indictors were available, how to attribute patients to residents, and what level of granularity was feasible, equity reports were created for five ambulatory quality measures. Chi-square tests were used to test the significance of differences in quality measure satisfaction between groups. Attributing patients to the physician who had seen them for the greatest proportion of encounters performed best. Creating equity reports for individual resident panels was not possible due to insufficient numbers. Most measures had sufficient patients when combining all residents' patients. Inequities were identified for four of five examined measures. Creating aggregate equity reports for all primary care residents across multiple equity indicators was feasible, documenting disparities in health care quality.