Curriculum Innovation: Clinical Documentation Integrity Education for Neurology Trainees.

ABSTRACT:

Background and purpose

High quality clinical documentation is a fundamental skill for practicing physicians and important for quality improvement. However, documentation and coding are rarely integrated into medical education curricula and there is a lack of standard neurology curriculum on this topic. We developed and evaluated a teaching session on clinical documentation for neurology resident physicians.

Methods

The education consisted of a didactic session designed by a neurologist with content about risk-adjusted mortality, clinical documentation integrity (CDI), impact of documentation on patients, and neurology-specific documentation guidance. A pre-post survey design was used to compare baseline and post-intervention self-reported knowledge and attitudes.

Results<

SUBMITTER: Aghajan Y 

PROVIDER: S-EPMC11638927 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature