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Current Research in Emergency Medicine
[ ISSN : 2832-5699 ]


Optimizing Procedural Documentation in Graduate Medical Education: Implementation of the PACE Score System

Research Article
Volume 4 - Issue 1 | Article DOI : 10.54026/CREM/1057


Frederick Fiesseler DO1, Cosimo Laterza MD1*, Nicole Riley1, Brian Walsh MD1, Andrew Graziano MD1

1Morristown Medical Center, Emergency Department, Morristown, New Jersey, United states.

Corresponding Authors

Cosimo Laterza, Morristown Medical Center, Emergency Department, Morristown, New Jersey, United States.

Keywords

Graduate Medical Education; Procedural Skills; Medical Education; Accreditation; Simulation Training.

Received : February 13, 2025
Published : March 03, 2025

Abstract

Accurate procedure tracking is crucial for maintaining residency program accreditation. However, lapses in logging procedures present challenges. To address this, we developed an online tracking system that integrates site-specific procedure logs into Google Sheets. Real-time comparisons of residents’ procedure count against anticipated values were performed, generating a dynamic scoring system. This system was regularly shared with residents and attendings to monitor procedural progress. Our objective was to assess the impact of this system on the Accreditation Council for Graduate Medical Education procedural reporting. Post-implementation, we observed significant increases in total procedures (87%, p=0.004) and live procedural documentation (60%, p=0.06). Additionally, simulation utilization rose substantially (86%, p=NS). Residents rated the system moderately beneficial (3.4/5, 95% CI: 3.1-3.7), indicating positive reception and utility. Our findings demonstrate that this system enhances the Accreditation Council for Graduate Medical Education’s procedural reporting and SIM utilization while addressing procedure logging lapses. The system’s positive reception among residents further underscores its value in improving procedural documentation and overall program efficacy.