Tag: residents

1. Residents who were randomly assigned schedules without shifts exceeding 24-hours made more serious medical errors when compared to residents working schedules with 24-hour shifts. 2. When accounting for the higher patient volume experienced by residents working under a schedule without 24-hour shifts, there was no increase in medical...
1. At a teaching hospital in Switzerland, internal medicine residents spent an average of 52.4% and 47.9% of the day shift and evening shift, respectively, on activities indirectly related to the patient and spent 28.0% and 39.4% of the day shift and evening shift, respectively, on activities directly related...
1. Milestone-based rating correlates with resident annual evaluation summary ratings but with a greater difference across training years that may account for graded developmental progression across residency training. 2. Milestone-based rating may better detect professionalism-related problems. Medical knowledge ratings in both systems correlate with certification examination scores. Evidence Rating Level: 2...
1. In this retrospective cohort study, patient mortality during end-of-rotation handoffs was slightly increased. This effect was increased after ACGME’s resident duty hour regulations were adopted. 2. A more restrictive analysis that reduced sample size but increased homogeneity of patient comparisons did not find a similar association. Evidence Rating Level: 2...
Image: PD  1. Saccadic peak velocity magnitude during guided saccade tasks decreased with increased time-on-duty (mean precall = 0.634, mean postcall=0.619, P=0.04). 2. Time on duty did not affect saccadic peak velocity, nor did it affect performance during simulated laparoscopic tasks. Evidence Rating Level: 1 (Excellent)  Study Rundown: Long work shifts and resident...
Image: PD 1. A survey of surgical subspecialty program directors found that 21% of program directors (PDs) felt that new fellows were unprepared for the operating room.  2. Only 33.7% of subspecialty program directors felt that new fellows could operate for 30 minutes during a major procedure without supervision, and 30%...