Academic Half Day Improves Resident Perception of Education Without Compromising Patient Safety.

Autor: Spence MC; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY. Electronic address: mcs9033@nyp.org., Sugarman A; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., Uong A; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., Bhuiyan M; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., Neugut YD; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., Asas KD; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., Fernandes DM; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., Broder M; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., Hametz PA; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY., McCabe ME; Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2024 Aug; Vol. 24 (6), pp. 1010-1016. Date of Electronic Publication: 2024 Feb 17.
DOI: 10.1016/j.acap.2024.02.007
Abstrakt: Background: Residency programs are required to offer a didactic curriculum and protect resident time for education. Our institution implemented an academic half day (AHD) in the 2021-2022 academic year to address issues related to the standard noon conference series.
Objective: Determine the impact of AHD implementation on education, patient safety, and workflow.
Methods: This was a prospective, single-site educational intervention study. Pre- and post-implementation surveys and Accreditation Council for Graduate Medical Education (ACGME) surveys assessed changes in trainee and faculty attitudes and behaviors. Patient safety and workflow were evaluated by comparing the number of safety event reports, rapid response team activations, time to admission from the ED, and time of discharge on AHD days compared to other weekdays.
Results: Survey response rates were: residents 68%/48%, fellows 42%/35%, and faculty 59%/29%. AHD was associated with a significant, positive change in resident attitudes and experiences and on ACGME survey items. On AHDs compared with other weekdays, there were no significant differences in safety event report rates (P = .98), nor in rapid response team activation rates (P = .99). There was not a clinically meaningful difference in median admission time from the ED on AHD weekdays (125 minutes) compared to other weekdays (130 minutes, P = .04). There was no significant difference in median discharge time on AHD vs other weekdays (P = .13).
Conclusions: This study suggests that there is no significant difference in patient safety or workflow with the implementation of AHD. This study supports prior studies that residents strongly prefer AHD. AHD may be a useful framework for resident education without compromising patient care.
Competing Interests: Declaration of Competing Interest No authors have any relevant conflicts of interest to disclose.
(Copyright © 2024 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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