The Clinical Rotation Evaluation and Documentation Organizer (CREDO) is fast, taking less than 20 seconds per entry; efficient, for it continuously evaluates your status during a rotation; and is a critical part of your portfolio and maintaining the school’s accreditation.
Log in to CREDO using your school email address and the password you were assigned for this project; change your password after your first login.
Adjust your Rotation and Site as needed via the 'Account' option on the left menu.
Fulfilling Learning Objectives and Preceptor Evaluations (Coming Soon)
The Learning Objectives defined by the school can be fulfilled by an appropriate clinical diagnosis or procedural experience (via a logged ICD code). As clinical experiences are logged, they will automatically check off appropriate Learning Objectives.
A Learning Objective can also be fulfilled by a Reading or Lecture as entered by the student. It can also be fulfilled by specifying a unique diagnostic or procedure code that is not currently on the fulfillment list.
For third- and fourth-year students, the rotation Preceptor completes an evaluation. Soon, that evaluation will be done electronically, as part of the CREDO system. The Preceptor will be able to review your entries, your summary sheet prior to completing the review. For first- and second-year students, and International Outreach students, the appropriate faculty will review your entries.
Logging Clinical Experiences
For each patient encounter, please create a new encounter entry. This begins with specifying a New Patient, and providing patient gender and age, the encounter environment by selecting either “Hospital” or “Ambulatory”, and any free text notes. Save this.
Then add a Primary Diagnosis for this patient encounter, save it, and then you can enter additional diagnoses, procedures, and drugs (via ICD code descriptions) that are associated with that primary diagnosis for a given patient encounter. Please only enter the diagnoses, procedures and history pertinent to this patient encounter, not all from previous encounters or history.
There are several entry methods: Keyword Search, Hierarchical Categories, Smart Suggest, and Recent Entries. Most students use the Keyword Search to enter a diagnosis; alternatively the Smart Suggest provides a list of the most frequent diagnoses encountered in a given rotation. Since procedures and drugs are associated with a given Primary Diagnosis (and additional diagnoses that can be added), the Smart Suggest then includes the most frequent procedures or drugs associated with a given diagnosis. During a rotation, you may see patients that are similar; speed your entries using "Recent Entries."
For each diagnosis or procedure entry, you must input at least three digits of specificity; when searching, more digits may automatically be provided. You can enter more specificity than three digits if you desire.
After each diagnosis or procedure entry, they are automatically checked to see if they qualify to fulfill Learning Objective for your rotation, and if so, you will be notified. You can also go to the My Learning Objectives page of the dashboard to review your progress. (Coming Soon)
Optionally enter notes for patients, diagnoses, procedures or drugs; never enter any Patient Identifiable Information (PII). This can help your recall of a case to discuss with your preceptor, and help those studying your entries to identify possible new diseases, traits, public health issues, etc&ellip;
Once you have submitted all the diagnoses, procedures, and drugs for a given patient encounter, you can enter a new patient, or go back to the list of patient encounters, where you can review and also edit any of your previous patient encounters.
Using the Dashboard
Review, interact, and edit your Learning Objectives (coming soon), diagnosis, procedure, and drug entries from various pages in the Dashboard.
In the Dashboard you will be able to review the summary sheet for each rotation (coming soon). That sheet summarizes the number of patients you encountered, quantifies the variety of diagnoses and procedures you experienced. This summary is available to your Preceptor while completing his evaluation.
The My Learning Objectives (coming soon), My Entries, and other summary pages in the dashboard will be particularly useful for you to review your progress, and to stimulate learning dialogs between you and your preceptor.
Use the 'Support' option on the right menu to review instructions, ask questions, report bugs, usability issues, and suggestions.
You can access pages that provide statistics for the entire school and your peers.
About Credo — Making Great Clinicians
The goal of the Clinical Rotation Evaluation and Documentation Organizer (CREDO) Clinical Learning Management System to track clinical learning progress in real-time and provide an environment where students, preceptors, and administrators can engage in a meaningful dialog to make adjustments to maximize the learning experience. This is accomplished by capturing the breadth, depth, and frequency of various patient encounters experienced during clinical rotations and simulated patient encounters and using these experiences to fulfill Learning Objectives defined by the school. The Learning Objectives can also be fulfilled by Readings and Lectures, which are also captured. It is important that you record all applicable diagnoses, procedures, and drugs as they accumulate for each patient during each of their visits or admissions. Please also record any free text notes, including relevant History/Physical/Laboratory data, and use these as a memory trigger for future discussions with your preceptor, but never enter any patient identifiable information. Please be thorough, for you will later be questioned about your experiences.
This information is valuable to you, for it will document your total clinical experience, thus aiding you now by giving you instantaneous assessment of your progress, and, in the future, new quantitative documentation for residency applications and interviews. The CREDO system also helps you prepare for board exams, by presenting facts and review questions triggered by and matched to your patient encounter entries. It aids the school, by allowing us to understand your individual and class training, and make adjustments so you are optimally prepared for your profession. It also aids the community, for information you record reflects the instantaneous public health status in the vicinity of the hospitals and clinics where you visited your patients.
More information about CREDO can be obtained from our peer-reviewed publications:
- Rawlins F, Sumpter C, Sutphin D, Garner HR, Quantifying medical student clinical experiences via an ICD Code Logging App, Int J Med Inform. 2018 Mar;111:51-57. doi: 10.1016/j.ijmedinf.2017.12.017. PMID: 29425634 Read
- Araba A. Wubah, Jean A. Yankson, Cameron Sumpter, Fred Rawlins, Dean Sutphin, Kim Menier, Harold R. Garner, Evaluation of an ICD Logging System to Supplement an EMR in a Sub-Saharan Country, in press, Journal of Hospital Administration, 2018 Read
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