Jay Petosa, MD

Resident Sensitive Quality Measures for General Pediatrics: Alignment with Entrustable Professional Activities and Existing Care Recommendations

John J. Petosa Jr., MD; Abigail Martini, BS; Melissa Klein, MD, MEd; Daniel Schumacher, MD, PhD, MEd

We created resident sensitive quality measures with good content validity to established gold measure standards of pediatric care therefore allowing us to eventually implement them into primary care practice to continue to better evaluate and prepare residents for independent practice.

-Jay Petosa, MD


Background: Resident sensitive quality measures (RSQMs) are a new patient-focused approach to performance assessment. Their alignment with existing constructs is unexplored.

Objective: Develop and prioritize RSQMs for outpatient general pediatrics in the areas of attention deficit hyperactivity disorder (ADHD), Asthma, and Well visits (0- 2 months, 1 and 5 years) and compare to existing frameworks of entrustable professional activities (EPAs) and Bright Futures recommendations.

Methods: Categorical pediatrics residents, general academic pediatric fellows, and faculty participated in nominal group technique and Delphi processes to generate and prioritize RSQMs in the five areas of interest. The author team then compared the content of the final RSQMs to American Board of Pediatrics EPA curricular components and Bright Futures recommendations.

Results: From the list of 218 created measures, fifteen RSQMs were prioritized for each of the five topics. RSQMs prioritized vaccine administration, documentation of screening, and medication management. Overall, RSQMs mapped well to both the EPAs and Bright Futures recommendations.

Conclusions: The alignment of the RSQMs with existing EPA and Bright Futures frameworks supports their additive and complimentary contribution to resident assessment. RSQMs created from this study can be used for future investigations into resident performance assessment.