BACKGROUND: Little is known about whether assignment to simultaneous inpatient and outpatient clinical duties causes disruptions during internal medicine resident continuity clinic and impacts trainee satisfaction. PURPOSE: Our purpose was to determine whether dual inpatient and continuity clinic responsibilities impact resident stress and document the number, type, and immediacy of interruptions in continuity clinics. METHODS: Methods included a prospective 2-residency survey of 70 internal medicine residents performing 240 half-day continuity clinic sessions. RESULTS: More than half (52%) of trainees on inpatient rotations felt pressured to return to their ward duties. Half (50%) of residents thought clinic increased work hours, and the majority (70%) did not think continuity clinic detracted from their education on inpatient or elective rotations. Disturbances were more likely to occur on inpatient rotations (odds ratio 4.52, 95% confidence interval = 2.298.92) than on outpatient rotations. The time required to address an interruption was 3.9 +/- 4.51 min. Residents thought many (46%) problems addressed during clinic could have waited until clinic completion. CONCLUSIONS: Residents on inpatient rotations who were commonly interrupted in clinic felt pressured to return to ward duties and unable to focus on their clinic patients. Internal medicine faculty should modify curriculum to minimize the interference of other duties in resident clinics.
BACKGROUND: Little is known about whether assignment to simultaneous inpatient and outpatient clinical duties causes disruptions during internal medicine resident continuity clinic and impacts trainee satisfaction. PURPOSE: Our purpose was to determine whether dual inpatient and continuity clinic responsibilities impact resident stress and document the number, type, and immediacy of interruptions in continuity clinics. METHODS: Methods included a prospective 2-residency survey of 70 internal medicine residents performing 240 half-day continuity clinic sessions. RESULTS: More than half (52%) of trainees on inpatient rotations felt pressured to return to their ward duties. Half (50%) of residents thought clinic increased work hours, and the majority (70%) did not think continuity clinic detracted from their education on inpatient or elective rotations. Disturbances were more likely to occur on inpatient rotations (odds ratio 4.52, 95% confidence interval = 2.298.92) than on outpatient rotations. The time required to address an interruption was 3.9 +/- 4.51 min. Residents thought many (46%) problems addressed during clinic could have waited until clinic completion. CONCLUSIONS: Residents on inpatient rotations who were commonly interrupted in clinic felt pressured to return to ward duties and unable to focus on their clinic patients. Internal medicine faculty should modify curriculum to minimize the interference of other duties in resident clinics.
Authors: Maureen D Francis; Eric Warm; Katherine A Julian; Michael Rosenblum; Kris Thomas; Sean Drake; Keri Lyn Gwisdalla; Michael Langan; Christopher Nabors; Anne Pereira; Amy Smith; David Sweet; Andrew Varney; Mark L Francis Journal: J Grad Med Educ Date: 2014-09
Authors: Mohan Nadkarni; Siddharta Reddy; Carol K Bates; Blair Fosburgh; Stewart Babbott; Eric Holmboe Journal: J Gen Intern Med Date: 2010-07-14 Impact factor: 5.128
Authors: Maureen D Francis; Kris Thomas; Michael Langan; Amy Smith; Sean Drake; Keri Lyn Gwisdalla; Ronald R Jones; Katherine A Julian; Christopher Nabors; Anne Pereira; Michael Rosenblum; Andrew Varney; Eric Warm; Melchor Ortiz Journal: J Grad Med Educ Date: 2014-06
Authors: Mark L Wieland; Andrew J Halvorsen; Rajeev Chaudhry; Darcy A Reed; Furman S McDonald; Kris G Thomas Journal: J Gen Intern Med Date: 2013-08 Impact factor: 5.128
Authors: Kris G Thomas; Colin P West; Carol Popkave; Lisa M Bellini; Steven E Weinberger; Joseph C Kolars; Jennifer R Kogan Journal: J Gen Intern Med Date: 2009-05-28 Impact factor: 5.128
Authors: Anand D Jagannath; Christopher Nabors; William Southern; Sheira Schlair; Rosemarie Conigliaro Journal: J Gen Intern Med Date: 2020-03-05 Impact factor: 5.128