Restructuring an inpatient resident service to improve outcomes for residents, students, and patients

Academic Medicine

Volumn 86, Issue 12, 2011, Pages 1500-1507

  O'Connor, Alec B ^a   Lang, Valerie J ^a   Bordley, Donald R ^a  

^a UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 82655168820     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3182359491     Document Type: Article

References (36)

1. Smith LG, Humphrey H, Bordley DR. The future of residents' education in internal medicine. Am J Med. 2004;116:648-650. (Pubitemid 38490545)
2. Fitzgibbons JP, Bordley DR, Berkowitz LR, Miller BW, Henderson MC. Redesigning residency education in internal medicine: A position paper from the Association of Program Directors in Medicine. Ann Intern Med. 2006;144:920-926. (Pubitemid 46768130)
3. O'Malley PG, Khandekar JD, Phillips RA. Residency training in the modern era: The pipe dream of less time to learn more, care better, and be more professional. Arch Intern Med. 2005;165:2561-2562. (Pubitemid 41785049)
4. Ludmerer KM, Johns MM. Reforming graduate medical education. JAMA. 2005;294:1083-1087. (Pubitemid 41248450)
5. Association of Program Directors in Medicine Learning Environment Task Force. Beyond Duty Hour Reform: Redefining The Learning Environment. http://www.im.org/AcademicAffairs/PSI/Documents/09-06- 04%20Beyond%20Duty%20Hour%20Reform%20FINAL%20Report.pdf. Accessed August 17, 2011.
6. Friesen LD, Vidyarthi AR, Baron RB, Katz PP. Factors associated with intern fatigue. J Gen Intern Med. 2008;23:1981-1986.
7. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;135:358-367. (Pubitemid 34183994)
8. Vidyarthi AR, Katz PP, Wall SD, Wachter RM, Auerbach AD. Impact of reduced duty hours on residents' educational satisfaction at the University of California, San Francisco. Acad Med. 2006;81:76-81. http://journals.lww.com/ academicmedicine/Fulltext/2006/01000/Impact-of-Reduced-Duty-Hours-on-Residents-. 19.aspx. Accessed October 6, 2011. (Pubitemid 44366097)
9. Vidyarthi AR, Arora V, Schnipper JL, Wachter RM. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp Med. 2006;1:257-266.
10. Vidyarthi AR, Auerbach AD, Wachter RM, Katz PP. The impact of duty hours on resident self report of errors. J Gen Intern Med. 2007;22:205-209. (Pubitemid 47308822)
11. Logio LS, Djuricich AM. Handoffs in teaching hospitals: Situation, background, assessment, and recommendation. Am J Med. 2010;123:563-567.
12. Wayne DB, Arora V. Resident duty hours and the delicate balance between education and patient care. J Gen Intern Med. 2008;23:1120-1121. (Pubitemid 351960273)
13. West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;23:1294-1300.
14. Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165:2595-2600. (Pubitemid 41785056)
15. Fletcher KE, Reed DA, Arora VM. Doing the dirty work: Measuring and optimizing resident workload. J Gen Intern Med. 2011;26:8-9.
16. Goiten L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med. 2005;165:2601-2606. (Pubitemid 41785057)
17. Fletcher KE, Davis SQ, Underwood W, Mangrulkar RS, McMahon LF, Saint S. Systematic review: Effects of resident work hours on patient safety. Ann Intern Med. 2004;141:851-857. (Pubitemid 39601179)
18. McMahon GT, Katz JT, Thorndike ME, Levy BD, Lascalzo J. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362:1304-1311.
19. MedU. Simulated Internal Medicine Patient Learning Experience. http://www.med-u.org/virtual-patient-cases/simple. Accessed August 17, 2011.
20. Clerkship Directors in Internal Medicine; Society of General Internal Medicine. Core Medicine Clerkship Curriculum Guide: A Resource for Teachers and Learners. Version 3.0. http://www.im.org/toolbox/curriculum/ coremedicineclerkshipcurriculum/Documents/OnlineCDIMCurriculum.pdf. Accessed August 17, 2011.
21. O'Connor AB, Lang VJ, Lurie SJ, et al. The effect of nonteaching services on the distribution of inpatient cases for internal medicine residents. Acad Med. 2009;84:220-225. http://journals.lww.com/academicmedicine/Fulltext/2009/ 02000/The-Effect-of-Nonteaching-Services-on-the.25.aspx. Accessed August 29, 2011.
22. Kogan JR, Bellini LM, Shea JA. The impact of duty hour reform in a medicine core clerkship. Acad Med. 2004;79(10 suppl):S58-S61. http://journals.lww.com/academicmedicine/Fulltext/2004/10001/ The-Impact-of-Resident-Duty-Hour-Reform-in-a.18.aspx. Accessed August 29, 2011. (Pubitemid 39281218)
23. Griffith CH III, Wilson JF, Haist SA, Ramsbottom-Lucier M. Do students who work with better housestaff in their medicine clerkships learn more? Acad Med. 1998;73(10 suppl): S57-S59. http://journals.lww.com/academicmedicine/ Citation/1998/10000/medical-students-and-housestaff-partners-in.45.aspx. Accessed August 29, 2011. (Pubitemid 28476061)
24. Manitoba Centre for Health Policy. Charlson Comorbidity Index SAS Macro. http://mchpappserv.cpe.umanitoba.ca/concept/-CharlsonICD9CM.sas.txt. Accessed August 17, 2011.
25. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613-619.
26. Nutting PA, Crabtree BF, Miller WL, Stewart EE, Stange KC, Jaén CR. Journey to the patient-centered medical home: A qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med. 2010;8(suppl 1): s45-s56.
27. Zwarenstein M, Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Database Syst Rev. 2000;(2):CD000072.
28. Petersen LA, Brennan TA, O'Neil AC, Cook EF, Lee TH. Does housestaff discontinuity of care increase the risk of preventable adverse events? Ann Intern Med. 1994;121:866-872.
29. Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Communication failures in patient sign-out and suggestions for improvement: A critical incident analysis. Qual Saf Health Care. 2005;14:401-407. (Pubitemid 41820063)
30. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168:1755-1760.
31. Lang VJ, Mooney CJ, O'Connor AB, Bordley DR, Lurie SJ. Association between hand-off patients and subject exam performance in medicine clerkship students. J Gen Intern Med. 2009;24:1018-1022.
32. Hauer KE, Wachter RM, McCulloch CE, Woo GA, Auerbach AD. Effects of hospitalist attending physicians on trainee satisfaction with teaching and with internal medicine rotations. Arch Intern Med. 2004;164:1866-1871. (Pubitemid 39274356)
33. Kulaga ME, Charney P, O'Mahony SP, et al. The positive impact of initiation of hospitalist clinician educators. J Gen Intern Med. 2004;19:293-301.
34. Thomas NK. Resident burnout. JAMA. 2004;292:2880-2889. (Pubitemid 39628236)
35. Haney EM, Nicolaidis C, Hunter A, Chan BK, Cooney TG, Bowen JL. Relationship between resident workload and self-perceived learning on inpatient medicine wards: A longitudinal study. BMC Med Educ. 2006;6:35.
36. Finn KM, Carty M, Laing M, Harris L, Rachelefsy L, Katz JT. A program for reducing noneducational resident activities at an academic medical center. J Clin Outcomes Manag. 2008;15:25-30. (Pubitemid 351214030)