With the goal of making residents more involved with meeting their educational needs, Massachusetts General Hospital developed a program where residents choose their preferred OR case assignments. The system creates resident profiles, based on MetaVision records and Accreditation Council for Graduate Medical Education (ACGME) case logs, to facilitate attending review of case experience. MGH also developed an ACGME case-log visualisation tool in order to easily compare each resident’s experience to both case minimums and peer group averages. The study found that these decision support systems successfully distributed responsibility between residents and attending for creating appropriate assignments.

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