Tamar de Boer, Marijn Pietersma, Bea Tiemens
Prediction of Disruptive Behavior over Time from Changes in Patients' Global Functioning in Acute Psychiatric Care
Administration and policy in mental health
residency programs still lack formal education training basic clinical documentation coding principles todays physicians continuously held increasing standards correct coding documentation yet little changed residency training curricula keep pace increasing standards although many barriers implementing topics formally main concern lack time resources thus simple models may best chance success widespread implementation first goal study assess group orthopedic residents fund knowledge regarding basic clinical documentation guidelines coding principles ability appropriately identify cases medicare fraud second goal analyze single highyield educational sessions effect overall resident knowledge acquisition awareness concepts orthopedic residents belonging 1 2 separate residency programs voluntarily anonymously participated asked complete baseline assessment examination followed attending 45minute lecture given orthopedic faculty member remained blinded test questions resident completed postsession examination resident also asked selfrate documentation coding level comfort likert scale 15 statistical significance set p 005 total 32 orthopedic residents participated increasing postgraduate yearlevel training correlated higher likertscale ratings selfperceived comfort levels documentation coding however baseline examination scores different senior junior residents p 020 highyield teaching session significantly improved average total examination scores sites p 001 overall improvement similar 2 groups p 010 current healthcare environment necessitates better physician awareness regarding clinical documentation guidelines coding principles adjustments incorporate teachings made residency training curricula lack time resources remains concern many surgical programs demonstrated orthopedic resident knowledge important areas drastically improves single highyield 45minute teaching session