Presentation is loading. Please wait.

Presentation is loading. Please wait.

THE CONSTRAINTS OF THE 80-HOUR WORK WEEK ON DIDACTIC TEACHING: MAXIMIZING EFFECTIVENESS AND SURGICAL RESIDENT SATISFACTION Jana Cole M.D., Ellen Farrokhi.

Published byEmerson Clubb Modified over 10 years ago

Similar presentations

Presentation on theme: "THE CONSTRAINTS OF THE 80-HOUR WORK WEEK ON DIDACTIC TEACHING: MAXIMIZING EFFECTIVENESS AND SURGICAL RESIDENT SATISFACTION Jana Cole M.D., Ellen Farrokhi."— Presentation transcript:

1 THE CONSTRAINTS OF THE 80-HOUR WORK WEEK ON DIDACTIC TEACHING: MAXIMIZING EFFECTIVENESS AND SURGICAL RESIDENT SATISFACTION Jana Cole M.D., Ellen Farrokhi M.D., Karen Horvath M.D., Doug Brock PhD., Carlos Pellegrini M.D., Gary Mann M.D. University of Washington Department of Surgery

2 Introduction Service demands of the 80 hour work week can lead to erosion of time for didactic teaching. The challenge is to find new ways to improve education despite time constraints.

3 Introduction Resident dissatisfaction led us to critically evaluate and change our surgical didactic teaching curriculum.

4 UW General Surgery Residency 5-7yr University Hospital Program 7 categorical positions 75 residents 5 hospitals

5 Methods I Curriculum Time Change 1 hour per week Poor attendance All resident levels together PRE POST 4 hours per week Mandatory attendance Juniors (R1,2,3) and Seniors (R4,R5) alternate weeks

6 Time for Didactic Teaching 51 hrs/resident/yr 116 hrs/resident/yr R1,2,3 R4,5 71 hrs/resident/yr R1,2,3,4,5

7 Methods I Curriculum Teaching Change Junior (R1,2,3) Senior (R4,5) Literature review Evidence Based Technical Skills Problem Based ACGME Textbook Based Fundamentals Technical Skills Problem Based ACGME

8 Example Schedule May 4 R1-3 The Acute Abdomen Sabiston pp. 850-870 Faculty: Sinanan Resident: Wolf May 11 R4-5 Laprascopic Colectomy: New Implications Journal Articles posted on Resident Intranet Faculty: Horvath Resident: Drosch May 18 R1-3 Fluids and Electrolytes Sabiston pp. 335-365 Faculty:Nathens Resident:Suver May 25 R4-5 Morbid Obesity and Complications Journal Articles posted on Resident Intranet Faculty: Flum Resident:Chong

9 Purpose The purpose of this study was to determine the effectiveness and the resident satisfaction with a new didactic teaching curriculum.

10 Benchmarks Attendance (75%) Satisfaction (75% residents will be satisfied/very satisfied) ABSITE scores (>50 percentile)

11 Methods II Time point 1: prior to new curriculum Time point 2: 6 mos into new curriculum Time point 3: 1 year after starting new curriculum

12 Methods II: Survey Satisfaction Attendance/Faculty support ABSITE preparation Fund of knowledge/ Patient care Scale: 1 = strongly disagree 4 = strongly agree

13 Results

14 Attendance

15 Satisfaction with Didactic Teaching Program Scale: 1 = very dissatisfied 4 = very satisfied

16 Perceived ABSITE Preparation Scale: 1 = strongly disagree 4 = strongly agree

17 ABSITE Scores

18 Summary This study supports the effectiveness of our new surgical didactic curriculum. Attendance Resident Satisfaction Perceived ABSITE prep ABSITE scores

19 Conclusions This study illustrates that we can improve surgical education despite the time constraints of the 80 hour work week.

20 Thank You

Download ppt "THE CONSTRAINTS OF THE 80-HOUR WORK WEEK ON DIDACTIC TEACHING: MAXIMIZING EFFECTIVENESS AND SURGICAL RESIDENT SATISFACTION Jana Cole M.D., Ellen Farrokhi."

Similar presentations

Cultural Competence: A Systematic Review of Healthcare Provider Education Interventions Mary Catherine Beach, MD, MPH Eboni G. Price, MD Tiffany L. Gary,

Cultural Competence: A Systematic Review of Healthcare Provider Education Interventions Mary Catherine Beach, MD, MPH Eboni G. Price, MD Tiffany L. Gary,
Residents as Teachers: Strategies for Improving Peer Based Education in a Community Based Residency Program Bernard Birnbaum, MD Kim Marvel, PhD Kristen.

Residents as Teachers: Strategies for Improving Peer Based Education in a Community Based Residency Program Bernard Birnbaum, MD Kim Marvel, PhD Kristen.
Pre-College Scholars Program Post-Secondary Enrollment Option Case Western Reserve University 2013-2014.

Pre-College Scholars Program Post-Secondary Enrollment Option Case Western Reserve University
An Analysis of Industrial Technology (IT) Programs Effectiveness Through the Eyes of IT Graduates: A National Survey of 2002 Graduates Presented by Sam.

An Analysis of Industrial Technology (IT) Programs Effectiveness Through the Eyes of IT Graduates: A National Survey of 2002 Graduates Presented by Sam.
Resident Duty Hours UB Office of Graduate Medical Education Donna M. Cummiskey Director, GME Resource Management May 20, 2008.

Resident Duty Hours UB Office of Graduate Medical Education Donna M. Cummiskey Director, GME Resource Management May 20, 2008.
Division of Physical Therapy, University of North Carolina Chapel Hill A. Rosenberg PT, DrPH; D. Meyer PT; C. Eicher SPT; A. Fay SPT; E. Gaskins DPT; K.

Division of Physical Therapy, University of North Carolina Chapel Hill A. Rosenberg PT, DrPH; D. Meyer PT; C. Eicher SPT; A. Fay SPT; E. Gaskins DPT; K.
Continuous knowledge assessment program (CKAP) for surgical residents.

Continuous knowledge assessment program (CKAP) for surgical residents.
Department of Surgery Who’s Covering Our Loved Ones: Surprising Barriers in the Sign-Out Process Mara Antonoff MD Elizabeth Berdan MD, Varvara Kirchner.

Department of Surgery Who’s Covering Our Loved Ones: Surprising Barriers in the Sign-Out Process Mara Antonoff MD Elizabeth Berdan MD, Varvara Kirchner.
The ERAS Application Can Predict ACGME Competency-Based Surgical Resident Performance Amy M. Tolan MD *, Amy H. Kaji MD PhD *, Chi Quach †, O.Joe Hines.

The ERAS Application Can Predict ACGME Competency-Based Surgical Resident Performance Amy M. Tolan MD *, Amy H. Kaji MD PhD *, Chi Quach †, O.Joe Hines.
ACGME Survey and Program Evaluation Analysis

ACGME Survey and Program Evaluation Analysis
Carlos S. Morales, MD; Foula Kontonicolas MD; Anita Volpe DNP; Pierre F. Saldinger MD, FACS Royd Fukumoto, MD, FACS Department of Surgery and Department.

Carlos S. Morales, MD; Foula Kontonicolas MD; Anita Volpe DNP; Pierre F. Saldinger MD, FACS Royd Fukumoto, MD, FACS Department of Surgery and Department.
Sit for Autism Developed by The Center of Excellence on Autism Spectrum Disorders Southern Connecticut State University Ruth Eren, Ed.D. Director.

Sit for Autism Developed by The Center of Excellence on Autism Spectrum Disorders Southern Connecticut State University Ruth Eren, Ed.D. Director.
Comparing Job Demands, Coping Resources and Well-being Across Different Health Care Providers Working Together Jane B Lemaire MD, Jean E Wallace PhD, Janet.

Comparing Job Demands, Coping Resources and Well-being Across Different Health Care Providers Working Together Jane B Lemaire MD, Jean E Wallace PhD, Janet.
Medical Residents University of Washington Amy Fields March 6, 2003 LIS 528.

Medical Residents University of Washington Amy Fields March 6, 2003 LIS 528.
SimPL Diagnostic Peritoneal Lavage Simulator Col(s) Mark W. Bowyer, MD, FACS Alan Liu, PhD National Capital Area Medical Simulation Center Uniformed Services.

SimPL Diagnostic Peritoneal Lavage Simulator Col(s) Mark W. Bowyer, MD, FACS Alan Liu, PhD National Capital Area Medical Simulation Center Uniformed Services.
ATACC 17August, 2003 ATACCC St. Petersburg, FL August 17, 2003 Richard M. Satava, MD FACS Professor of Surgery University of Washington School of Medicine.

ATACC 17August, 2003 ATACCC St. Petersburg, FL August 17, 2003 Richard M. Satava, MD FACS Professor of Surgery University of Washington School of Medicine.
Complication after Procedure Resident Name, MD Attending Name, MD Institution Morbidity & Mortality Conference Date.

Complication after Procedure Resident Name, MD Attending Name, MD Institution Morbidity & Mortality Conference Date.
Math in the Middle Experience Doug Glasshoff Rural Education Workshop September 14, 2006 Doug Glasshoff Rural Education Workshop September 14, 2006.

Math in the Middle Experience Doug Glasshoff Rural Education Workshop September 14, 2006 Doug Glasshoff Rural Education Workshop September 14, 2006.
Daniel Farkas, Kamal Nagpal, Ernesto Curras, Ajay Shah, John Cosgrove

Daniel Farkas, Kamal Nagpal, Ernesto Curras, Ajay Shah, John Cosgrove
C o n f i d e n c e p e r f o r m a n c e d i s t i n c t i o n q u a l i t y Nursing Facility Family Satisfaction Survey Report Prepared for: Wiley Mission.

C o n f i d e n c e p e r f o r m a n c e d i s t i n c t i o n q u a l i t y Nursing Facility Family Satisfaction Survey Report Prepared for: Wiley Mission.

Similar presentations

Ads by Google