Characteristics of Highly Rated Internal Medicine Attendings Before and After the 2004 Work-Hour Restrictions
| Autor: | Patrick G. O’Malley, Christos Hatzigeorgiou, David L. Greenburg, Jeffrey L. Jackson, Renee Mallory, Donald Mondragon, Kent J. DeZee |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Medical staff Attitude of Health Personnel MEDLINE Personnel Staffing and Scheduling 01 natural sciences Military medicine 03 medical and health sciences 0302 clinical medicine Internal medicine Internal Medicine Medical Staff Hospital Medicine Humans Time management 030212 general & internal medicine 0101 mathematics business.industry 010102 general mathematics Public Health Environmental and Occupational Health Internship and Residency General Medicine Odds ratio Middle Aged Female Clinical Competence Clinical competence business Qualitative research |
| Zdroj: | Military medicine. 181(1) |
| ISSN: | 1930-613X |
| Popis: | To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation of the 2004 work-hour restrictions.Mixed methods study of resident ratings of medicine attendings (Period 1: 1994-1996, n = 250 and Period 2: 2007-2009, n = 152). Residents evaluated 17 attending characteristics. The top 25% of "overall" ratings were classified as "highly rated." Two free-text questions included "What was your attending's best characteristic?" and "How could your attending best improve?" and were coded in duplicate, using grounded qualitative methods.There were no differences in the characteristics of highly rated attendings in the two time periods. Characteristics associated with being a top-rated attending included enthusiasm (odds ratio [OR]: 5.69, 2.78-11.67), balanced teaching style (OR: 3.63, 1.64-8.02), promoting independent thinking (OR: 2.90, 0.96-8.74), fund of knowledge (OR: 2.73, 1.13-6.58), and time management (OR: 1.78, 1.14-2.80). Among the 1,410 utterances, valued attending attributes included helpfulness, promoting independent thinking, and having strong medical knowledge.The characteristics valued by residents in attendings did not change over time despite a major structural change in work hours and patterns of teaching. These valued characteristics continue to be a strong general fund of knowledge, enthusiasm for teaching, and balance between didactic and bedside approaches. |
| Databáze: | OpenAIRE |
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