USING A NEW PROGRAM-EVALUATION MODEL TO CHART THE OUTCOMES OF AN EDUCATIONAL INTERVENTION IN RESIDENCY TRAINING

The purpose of this article is to introduce a new outcome-oriented, ut ilization-focused, and practical approach to program evaluation: Chart ing the Outcomes of Educational and Clinical Approaches (COECA) model. It provides a framework that encourages stake-holders to consider aca demic dissemination, product development, and implementation as three primary outcomes when evaluating educational and clinical approaches. The model then identifies measurements of the impact of each of these primary outcomes. Finally, it outlines three secondary outcomes that f ocus on education, clinical service, and administration. As an example , this article discusses the application of the model to an educationa l intervention in residency training. This intervention has been imple mented at two sites. Secondary outcomes include increased competency o f residents and a change in responsibilities among health care team me mbers. The COECA model provides an easy-to-apply and efficient method for documenting actual progress and determing potential for further de velopment.