Qinisile Pearl Dlamini, Moses Mefika Sithole, Josiline Chigwada
Mapping the research and development (R&D) landscape using a data series: A 20-year reflection on measuring R&D capacity in South Africa
Data in brief
critical thinking accurate case analysis difficult quantify even within context routine morbidity mortality reporting designed implemented hipaacompliant adverse outcome reporting system collects weekly resident assessments clinical care across multiple domains case summary complications error analysis claviendindo harm cognitive bias standard care acgme core competencies hypothesized incorporation system residency programs core curriculum would allow identification areas cognitive weakness strength provide longitudinal evaluation critical thinking development validated passwordprotected electronic platform linked electronic medical record used collect cases weekly surgical adverse events occurred general surgery residents critiqued 1932 cases 4year period 3 major medical centers within system data reviewed teaching faculty corrected accuracy graded utilizing softwares critique algorithm grades emailed residents time review collected prospectively stratified analyzed postgraduate year pgy evaluation resident scores domain resultant composite scores allowed comparison critical thinking skills across postgraduate year pgy time data collected 3 independently acgmeaccredited surgery residency programs 3 tertiary hospitals within health system general surgery residents clinical pgy 15 residents scored highest properly identifying acgme core competencies determining claviendindo scores p 0006 improvement providing accurate concise clinical summaries however residents improved recording data sufficient identify error p 000001 positive linear trend median scores remaining domains except cognitive bias demonstrated p 0001 senior residents scored significantly higher junior residents domains scores 90 never achieved use electronic standardized critique algorithm evaluation assessment adverse surgical case outcomes enabled measure residents critical thinking skills feedback form teaching facultyfacilitated discussion emailed grades enhanced adult learning steady improvement performance pgy although residents improved pgy data suggest improvement categories possible implementing standardized critique algorithm across pgy allows evaluation areas individual resident weakness vs strength progression time comparisons peers data suggest routine complication reporting may enhanced critical thinking assessment tool improvement critical thinking quantified incorporation platform mm conference potential augment executive function professional identity development