好色先生

好色先生

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Abstract Details

Precision Learning Across Neurology – Resident 好色先生 (PLAN-R): Mapping ICD-10 Categories to ABPN Content Areas to Develop a Timely, Individualized Learning System
好色先生, Research, and Methodology
P7 - Poster Session 7 (8:00 AM-9:00 AM)
15-003
To develop and validate a crosswalk from ICD-10 categories to American Board of Psychiatry and Neurology (ABPN) child neurology content areas as the foundation of an individualized, timely resident learning system.
In current state, child neurology resident education relies on delayed and indirect feedback including in-training and certification examinations and milestone assessments. We aim to develop an automated system that identifies meaningful resident-patient interactions using electronic health record features, and maps diagnostic codes from those encounters to relevant content domains. This system will allow for timely, data-driven insights to guide resident education. To construct this system, we mapped ICD-10 categories to ABPN content domains to support reliable measurement of resident topic exposure.
We expanded terminology from the ABPN child neurology content outline and text matched to ICD-10 categories. Matches were reviewed by 3 neurologists with mismatches reconciled by consensus discussion. Following this first step, unmatched ABPN content areas  were manually mapped to ICD-10 categories. At one institution, we used an existing trainee-patient matching tool to record primary ICD-10 diagnoses seen by PGY3-5 child neurology residents between July 2024 and April 2025, and then measured the percent of these primary ICD-10 diagnoses captured in our crosswalk. We iteratively mapped unmatched ICD-10 categories until achieving >90% outpatient and >70% inpatient capture.
We mapped 385 unique ICD-10 categories to ABPN content domains, with 90.0% outpatient and 73.8% inpatient coverage across 3109 encounters. ICD-10 categories that did not map to a single content area, including hemiplegia/hemiparesis and shock, were intentionally excluded, limiting further coverage. The most frequent mapped diagnoses were epilepsy (outpatient) and cerebral infarction (inpatient).
We developed a crosswalk between ICD-10 categories and ABPN content areas, with robust outpatient and moderate inpatient coverage. This provides a critical foundation for an automated dashboard to deliver timely trainee feedback regarding content exposure, guiding precision education.
Authors/Disclosures
Joshua M. Adams, MD, PhD (University of Michigan)
PRESENTER 		Dr. Adams has nothing to disclose.
Adam Dziorny, MD, PhD Dr. Dziorny has received personal compensation for serving as an employee of University of Rochester. The institution of Dr. Dziorny has received research support from Department of Health and Human Services. Dr. Dziorny has received personal compensation in the range of $500-$4,999 for serving as a Speaker with Society for Critical Care Medicine.
Brian Stamm, MD Dr. Stamm has received personal compensation in the range of $10,000-$49,999 for serving as a Physician with Veterans Health Administration.
Mark Mai, MD Dr. Mai has nothing to disclose.
Miya Bernson-Leung, MD, FAAN (Boston Children'S Hospital) An immediate family member of Dr. Bernson-Leung has received personal compensation in the range of $500-$4,999 for serving as a Consultant for GLG Consulting. Dr. Bernson-Leung has received personal compensation in the range of $500-$4,999 for serving as a Consultant for BioMarin. Dr. Bernson-Leung has stock in Abbott Labs. Dr. Bernson-Leung has stock in Abbvie Inc.
Robert I. Thompson-Stone, MD, FAAN (University of Rochester) Dr. Thompson-Stone has received personal compensation in the range of $500-$4,999 for serving as a Krabbe Disease expert with Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC). Dr. Thompson-Stone has a non-compensated relationship as a Editorial Board Member with Neurology: 好色先生 Journal that is relevant to AAN interests or activities.
Elizabeth T. Troy, MD (University of Colorado) The institution of Dr. Troy has received research support from ABPN. The institution of Dr. Troy has received research support from 好色先生. Dr. Troy has received publishing royalties from a publication relating to health care. Dr. Troy has received publishing royalties from a publication relating to health care.
Kathryn L. Xixis, MD Dr. Xixis has received personal compensation in the range of $500-$4,999 for serving as a Neurology Committee Member to ACGME-ABMS Symposium on CBME (hotel and travel expenses) with ACGME. Dr. Xixis has received personal compensation in the range of $500-$4,999 for serving as a Child Neurology Representative to ABPN Critical Issues Forum (on CBME) (hotel and travel expenses) with ABPN. Dr. Xixis has received personal compensation in the range of $500-$4,999 for serving as a Invited Speaker (Honorarium) with Oklahoma State Graduate Medical 好色先生 Committee. Dr. Xixis has received personal compensation in the range of $500-$4,999 for serving as a AAN 好色先生 Committee Member (hotel and travel expenses) with AAN. Dr. Xixis has received personal compensation in the range of $500-$4,999 for serving as a UCNS Accreditation Council (hotel and travel expenses) with UCNS. Dr. Xixis has a non-compensated relationship as a Podcast Writer and Editor of CNS Podcast Brainstorm with Child Neurology Society that is relevant to AAN interests or activities.
Bittu Majmudar-Sheth, MD (Pediatric Neurology, Riley Children's Hospital) Dr. Majmudar-Sheth has nothing to disclose.
Rachel J. Gottlieb-Smith, MD, MHPE (University of Michigan, Division of Pediatric Neurology) The institution of Dr. Gottlieb-Smith has received research support from American Board of Psychiatry and Neurology.