1. APDIM Survey Committee
Spring 2010
Furman S McDonald, MD MPH
Chair, APDIM Survey Committee

2. APDIM Survey Committee
Maria Lucarelli, MD
Furman McDonald, MD MPH
Susan Sefcik, MD
Debbie Stevens
Lisa Willett, MD
Ex Officio
Eric Holmboe, MD
APDIM Support
Nicole Baptista
Jessica O’Hara
Michael Adams, MD
Betty Aman
Vineet Arora, MD
Brent Beasley, MD
Joanne Connaughton, MD
Stephanie Call, MD
Karen Chacko, MD
Saima Chaudhry, MD
Kevin Hinchey, MD
Robert Hopkins, MD

3. Goals Answer Questions Important to APDIM
Consolidate (i.e. decrease) Surveys
Longitudinal Database
Research Network

7. Comments ARE NOT included to protect anonymity of respondents.

13. 2009 Survey Core Section Variable Sections
Program Director Characteristics
Program Characteristics
Questions only if data not obtainable elsewhere
ACGME, ABIM, FREIDA, US Census
Variable Sections
Recruitment
Global Health
Night-Time Supervision
IOM Duty Hour Recommendations

14. Survey Responses
responder=1, APDIM_member=1

15. 13% 37% 23% ’09 Survey 26% (13%) (36%) (23%) (All 380 Programs) (26%)
census_region_name
’09 Survey
(All 380 Programs)
26%
(26%)

16. Program Description (source: FREIDA)
Community-based,
university hospital affiliated
ALL PROGRAMS
Program_Desc

17. 2006-2008 Rolling Pass Rates (source: ABIM)
Mean = 92.4%
Median = 94.0%
Percent
ALL PROGRAMS
abim_06_08

18. Accreditation Cycle Length (source: ACGME)
Percent
ALL PROGRAMS
Cycle_Length
2008 (n=383)
Mean = 4.1 years
Median = 4.5 years
2009 (n=380)
Mean = 4.8 years
Median = 5.0 years

19. Program Director Tenure (source: ACGME, as of 12/1/09)
Percent
Median = 5 years
Mean = 7.0 years
12/1/ Program_Director_Appointment_Date, (percent)
23.7% have tenure > 10 years

20. Gender
Year Women % % %
Question 11

21. Career Designation
Year GIM % %
Question 16g

22. Academic Ranks
Question 15

23. Total Annual Salary
Percent
Question 19

24. Inflation Adjusted Mean Salary
Question 19

25. Recruitment

26. Applications → Interviews (Per G1 Approved Position)
Range
*Half of all programs receive fewer than 11% of their applications from USMGs

27. Time Invested in Recruitment (% of time during season)
Range
15% %
15% %
5% %
0% %
q31-34

28. Recruitment Budgets (Per interview)
Percent
> $0
77.1%
72.0%
24.0%
10.0%
Max
$190
$40
$167
$38

29. A Typical Visit Includes…

30. Who Has Input In Ranking?
Final decision has 94 missing values. Of those who answered, 114 (61.6%) said PD, 66 (35.7%) said Committee, and 5 (2.7%) said Other

31. Final Rank Decision

32. Global Health

33. International Rotations
97.5% for credit
40.6% have additional funding available

34. Designated Sites
69.2% of programs with designated sites also allow rotations at other sites

35. How Important Is It To…
…an internal medicine residency curriculum to work in health care settings within another culture that is relatively resource poor?
…your recruitment efforts to offer residents an international rotation?
Allow International Rotations (n=160)
Don’t Allow International
Rotations (n=119)

36. Night-Time Supervision

37. What Does Supervision Policy Stipulate?

38. Explicitly Require Notification At Night For…

39. Who Provides Faculty Level Night-Time Supervision?
21 (7.5%) of programs report using a telemedicine system for supervision

40. Barriers to Night-Time Contacts

41. IOM Duty Hour Recommendations

42. Effects of Further Reform
Consequences if new recommendations take effect?
Is Further Reform Necessary?
Decrease
Increase
Ownership of Patients
92.1%
0.7%
Faculty Morale
88.9%
Learning Environment
79.2%
6.8%
PD Morale
74.2%
2.9%
Patient Safety
72.4%
4.7%
Quality of Handoffs
68.1%
11.5%
Interest in IM Career
26.1%
8.2%
59.5% of Program Directors think that training will need to be lengthened

43. Difficulty of Implementation
84.6% of Program Directors felt that Duty Hour oversight should be provided through professional self-regulation by the ACGME

44. PLEASE COMPLETE 2010 Survey
Core Section
Program Director Characteristics
Program Characteristics
Questions only if data not obtainable elsewhere
Variable Sections
Adjustment to the new Program Requirements
MedPAC/Rand
Sub-internship (CDIM)
PD Burnout
New Duty Hour Requirements?

45. Thank You