METHODS: Building upon an established peer review of clinical documentation activity, PGY1 pharmacy residents practicing in ambulatory care settings received training on DEI considerations and completed small and large group discussions, a post-activity mixed methods survey with self-reflection prompts, and a three-month follow-up survey.
RESULTS: Twenty-two residents participated in the peer review of clinical documentation activity, DEI training and discussions. Twelve residents completed the post-activity survey with reflection prompts; 6 (50%) reported similar previous DEI training prior to residency. After the DEI training and discussions, 12 (100%) agreed or strongly agreed that their awareness of DEI documentation considerations increased; 10 (83%) would document their submitted notes differently, while one resident was unsure and one would not make changes. Twelve residents completed the follow-up survey three months following the activity. Themes from the free-text responses on key learnings collected post-activity and three-month post (respectively) included: 1) new knowledge, increased self-awareness, and intended action and 2) increased self-awareness and changes in note-making convention.
CONCLUSIONS: Integrating DEI training, discussion, and self-reflection prompts into a peer review clinical documentation activity increased self-awareness and knowledge of DEI considerations and promoted intended changes in patient care documentation for pharmacy residents. Regardless of previous training, residents reported continued self-awareness and changes in documentation conventions continued three months later.
方法:在已建立的临床文献活动同行评审的基础上,PGY1在门诊护理环境中执业的药房居民接受了有关DEI考虑的培训,并完成了小型和大型小组讨论,带有自我反省提示的活动后混合方法调查,和三个月的跟踪调查。
结果:22名居民参加了临床文献活动的同行评审,DEI培训和讨论。12名居民通过反思提示完成了活动后调查;6名(50%)报告了在居住之前的类似DEI培训。在DEI培训和讨论之后,12(100%)同意或强烈同意他们对DEI文档考虑的认识增加;10(83%)将以不同方式记录他们提交的注释,而一名居民不确定,也不会做出改变。活动后三个月,十二名居民完成了跟踪调查。活动后和三个月后(分别)收集的关于关键学习的自由文本响应的主题包括:1)新知识,自我意识增强,和预期的行动,以及2)增强自我意识和笔记惯例的变化。
结论:集成DEI训练,讨论,和自我反思提示到同行评审的临床文件活动增加了对DEI考虑因素的自我意识和知识,并促进了药房居民患者护理文件的预期变化。不管以前的训练,居民报告继续自我意识和文件公约的变化持续三个月后。