Resident Clinic Results In-Basket Management Leads Valiant Faculty to Create Ways to Address "Epic Extravaganza" Challenge for Residents and Faculty Alike

Faculty at different training programs that vary in size share a common bond: a love-hate relationship with the electronic health record (EHR) in-basket. Collective experiences will serve as a foundation to help participants discuss common themes related to ambulatory clinic training experiences of both residents and faculty regarding in-basket management. This workshop is best for programs that utilize Epic; however, the concepts have applicability to all EHR systems. Presenters will focus on helping faculty evaluate and enhance their current system of resident clinic in-basket management, recognizing that the approach of EHR onboarding to resident clinic varies. Discussion will focus on in-basket, which can be a common source of frustration for residents and preceptors alike. Yet it is also an opportunity for innovation aimed at addressing specific Milestone 2.0 resident core competencies. Presenters will discuss systems for resident result management of their continuity clinic patients beyond the office visit and some curricular innovations to support residents. They include a "clinic coaching" model, tip sheets, education sessions, and peer evaluation of in-basket management. Shared Epic-generated data in a case-based format will demonstrate ways to identify struggling residents and elucidate solutions. In small groups, participants will use a checklist to take inventory of their system, troubleshoot common resident in-basket management issues, and learn from each other about their programs' current clinic coverage structures. Participants will share and learn strategies from the large group debrief sessions of in-basket management expectations, promoting resident growth in this area, and opportunities for collaboration.