Clinical effectiveness
Enhancing Quality of Trainee-written Consultation Notes

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Enhancing the Quality of Consultation Notes

This initiative focused on developing a peer evaluation program that taught trainees about the components of high-quality consultation notes and then engaged them in self-improvement through reflection on performance data and practice-based learning (Figure 1). The program included the development of a consultation assessment tool, followed by the implementation of the peer-evaluation program across our Department's fellowship programs.

Discussion

All fellowship programs strive to train subspecialists who can provide high-quality consultations, with initial notes representing a critical competency. Our consultation quality assessment tool, coupled with a peer evaluation program, provided a mechanism to actively teach fellows about the components of high-quality consultation notes. Our initial experience suggested that the major barrier to our program's effectiveness was our initial difficulty engaging a diverse group of fellows in

Acknowledgements

We would like to thank participating UCSF fellows and fellowship directors.

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Funding: DST was partially funded by the UCSF KL2 Award number RR024130.

Conflict of Interest: None.

Authorship: All authors had access to the data and a role in writing the manuscript.

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