Abstract
The 80-hour workweek limit for residents provides an opportunity for residency directors to creatively innovate their programs. Our novel day-float rotation augmented both the educational structure within the inpatient team setting and the ability for house staff to complete their work within the mandated limits. Descriptive evaluation of the rotation was performed through an end-of-rotation questionnaire. The average length of the ward residents’ work week was quantified before and after the rotation’s implementation. Educational portfolios and mentored peer-teaching opportunities enriched the rotation. As measured by our evaluation, this new rotation enhanced learning and patient care while reducing work hours for inpatient ward residents.
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References
Ludmerer K. Time to Heal. New York: Oxford University Press; 1999.
Accreditation Council of Graduate Medical Education. Resident Duty Hours Documents and Duty Hours Language. Available at http://www.acgme.org. Accessed July 24, 2003.
Rosevear MA, Gary NE. Changes in admissions, lengths of stay, and discharge diagnoses at a major university-affiliated teaching hospital: implications for medical education. Acad Med. 1989;64:253–8.
Skeff KM, Stratos GA, Berman J, Bergen MR. Improving clinical teaching. Evaluation of a national dissemination program. Arch Intern Med. 1992;152:1156–61.
Dellit TH, Armas-Loughran B, Bosl GJ, et al. A method for assessing house staff workload as a function of length of stay. JAMA. 2001;286:1023–4.
Crowley SD, Owens TA, Schardt CM, et al. A web-based compendium of clinical questions and medical evidence to educate internal medicine residents. Acad Med. 2003;78:270–4.
Ramos K, Linscheid R, Schafer S. Real-time information-seeking behavior of residency physicians. Fam Med. 2003;35:257–60.
Green ML, Ciampi MA, Ellis PJ. Residents’ medical information needs in clinic: are they being met? Am J Med. 2000;109:218–23.
Spickard A, Corbett EC, Schorling JB. Improving residents’ teaching skills and attitudes toward teaching. J Gen Intern Med. 1996;11:475–80.
Wipf JE, Pinsky LE, Burke W. Turning interns into senior residents: preparing residents for their teaching and leadership roles. Acad Med. 1995;70:591–6.
Gross CP, Donnelly GB, Reisman AB, et al. Resident expectations of morning report: a multi-institution study. Arch Intern Med. 1999;159:1910–4.
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Wong, J.G., Holmboe, E.S. & Huot, S.J. Teaching and learning in an 80-hour work week. J GEN INTERN MED 19, 519–523 (2004). https://doi.org/10.1111/j.1525-1497.2004.30153.x
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DOI: https://doi.org/10.1111/j.1525-1497.2004.30153.x