Medical Student Patient Experiences Before and After Duty Hour Regulation and Hospitalist Support

Lindquist, Lee A.; Tschoe, Marianne; Neely, David; Feinglass, Joseph; Martin, Gary J.; Baker, David W.

doi:10.1007/s11606-009-1191-6

Cited by 9 publications

(5 citation statements)

References 6 publications

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“…19 • Additionally, in another study, 20 key clinical faculty, identified by internal medicine program directors, reported concerns about the impact of duty hours regulations on aspects of medical student education in internal medicine. Fifty-two percent reported worsening in the medical students' levels of responsibility on inpatient teams, ability to follow patients throughout hospitalization, ability to develop working relationships with residents, and overall quality of education.…”

Section: Intheunitedstatesgraduatemedicalmentioning

confidence: 99%

“…Fifty-two percent reported worsening in the medical students' levels of responsibility on inpatient teams, ability to follow patients throughout hospitalization, ability to develop working relationships with residents, and overall quality of education. 19 • Also, authors of another study surveyed students about their perceptions of the quality of their experiences in four required clerkships before and after duty hours regulations. 21 In the surgical clerkships (surgery and obstetrics-gynecology), students noted a decrease in the accessibility of residents, a decrease in the quality of their teaching and feedback, and a decrease in the overall quality of the clerkship.…”

Section: Intheunitedstatesgraduatemedicalmentioning

confidence: 99%

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Regulation of Medical Student Work Hours: A National Survey of Deans

2011

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Section: Intheunitedstatesgraduatemedicalmentioning

confidence: 99%

Section: Intheunitedstatesgraduatemedicalmentioning

confidence: 99%

Regulation of Medical Student Work Hours: A National Survey of Deans

2011

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“…Based on this feedback, caution should be taken in assigning more junior students to uncovered hospitalist services. This is especially true in the post‐duty hour setting which has already prompted concern related to student exposure to basic medical conditions 13…”

Section: Discussionmentioning

confidence: 99%

Hospital medicine in the internal medicine clerkship: Results from a national survey

Liston

O'Dorisio

Walker

et al. 2012

Journal of Hospital Medicine

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BACKGROUND: Hospital medicine is growing rapidly. This changing inpatient work force has had consequences on medical education, with an increasing hospitalist presence in resident and student training. Initially met with apprehension, there is growing literature to suggest that hospitalists are perceived to be more effective clinical teachers than non‐hospitalists. However, the extent to which hospitalists are involved in teaching Internal Medicine (IM) to medical students is not known. METHODS: In order to determine the role of hospitalists in medical student education within the United States and Canada, we queried clerkship directors in Internal Medicine as part of the 2010 annual Clerkship Directors in Internal Medicine (CDIM) survey. In June 2010, CDIM surveyed its North American institutional members, which represent 110 of 143 Departments of Medicine in the US and Canada. RESULTS: Eight‐two of 107 departments responded to the survey (77%). Seventy‐five (91%) indicated that hospitalists served as teaching attendings at their teaching hospital. In twenty‐two (27%) IM departments, 75% to 100% of students rotate with a hospitalist during their IM clerkships. Thirty‐three (42%) departments report that students are directly supervised by in‐house hospitalists during their nighttime call requirements. Sixty‐six (81%) indicated that academic hospitalists hold educational administrative positions. Hospitalists are significantly less likely to have additional clinical commitment as compared to non‐hospitalist teaching attendings (16% vs 53%, (χ 21df = 33.1; P < 0.0001). CONCLUSIONS: Hospitalists are involved in medical student education in the large majority of Departments of Internal Medicine throughout the US and Canada, reflecting the growth of hospital medicine nationally. Journal of Hospital Medicine 2012; © 2012 Society of Hospital Medicine

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“…Duty-hour regulations have resulted in faculty and residents perceiving less time to teach students, reduced continuity of patient care, and decreased volume and variety of patient exposures for students. [8][9][10][11][12][13] Billing and medico-legal concerns have resulted in many institutions prohibiting students from using EHRs. 14 Medicine (APDIM) surveyed its members about the IM subinternship.…”

mentioning

confidence: 99%