Posted: May 28, 2019

GME Action Learning: Using Clinical Learning Environment Walks (CLEWs) to Provide Opportunities for Improvement

Description

The Robley Rex VAMC provides a foundational site for the University of Louisville School of Medicine (ULSOM) Graduate Medical Education (GME) education and funding: approximately 30 residency and fellowship programs, 450 housestaff, and nine million dollars (second only to University Hospital as an educational and funding source for these learners). Concern had been expressed by ULSOM GME leadership and some specific Program Directors (PDs) that their housestaff perceived the Robley Rex Veterans Affairs Medical Center (VAMC) negatively. Yet data from the Accreditation Council on Graduate Medical Education (ACGME) surveys had not provided a specific problem to address. And the VAMC Learner Perception Survey (LPS), which has been more recently updated to a Trainee Satisfaction Survey (TSS), had low volume completion outside of nursing locally. Leadership at the Robley Rex VAMC wanted to more fully assess the clinical learning environment of the housestaff within this specific workplace learning environment. 

Keywords

GME, Graduate Medical Education, Clinical Learning Environment, GRA, Action Learning, Clinical Learning

Authors

Lori Wagner, MD, University of Louisville, School of Medicine

Susan Jackson, MD, University of Louisville, School of Medicine

Yash Kothari, MD, University of Louisville, School of Medicine

Suzanne McGee, MD, University of Louisville, School of Medicine

Nelson Seabrook, MD, University of Louisville, School of Medicine

Marylee Rothschild, MD, Robley Rex Veterans Affairs Medical Center


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