ArticleBMC medical education2017
Impact of adding additional providers to resident workload and the resident experience on a medical consultation rotation.
Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Back to the anatomy lab: a forgotten foundation or an ongoing necessity?BMC medical education · 2025Article
- Strategies to Improve Resident Wellness in Plastic Surgery Training.Plastic and reconstructive surgery. Global open · 2024Article
- Charting Tomorrow's Healthcare: A Traditional Literature Review for an Artificial Intelligence-Driven Future.Cureus · 2024Review
- Adding Nocturnal Advanced Practice Providers to an Academic Inpatient Neurology Service Improves Residents' Educational Experience.The Neurohospitalist · 2023Article
- Veterinarian burnout demographics and organizational impacts: a narrative review.Frontiers in veterinary science · 2023Review
- "Friction by Definition": Conflict at Patient Handover Between Emergency and Internal Medicine Physicians at an Academic Medical Center.The western journal of emergency medicine · 2021Article
- Burnout and its correlates in Saudi family medicine residents: An observational study from Aseer, Saudi Arabia.Journal of family medicine and primary care · 2021Article
- Service-Based Advanced Practice Providers: The Surgeon's Perspective.The American surgeon · 2019Article
- The impact of advanced practice providers on the surgical resident experience: Agree to disagree?American journal of surgery · 2019Article
- Learning Together: Integration of Advanced Practice Providers into a General Medicine Ward Team.Journal of general internal medicine · 2019Article
- A study of resident duty hours and burnout in a sample of Saudi residents.BMC medical education · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExcellence in Graduate Medical Education requires the right clinical environment with an appropriate workload where residents have enough patients to gain proficiency in medicine with optimal time for reflection. The Accreditation Council for Graduate Medical Education (ACGME) has focused more on work hours rather than workload; however, high resident workload has been associated with lower resident participation in education and fatigue-related errors. Recognizing the potential risks associated with high resident workload and being mindful of the costs of reducing resident workload, we sought to reduce residents' workload by adding an advanced practice provider (APP) to the surgical comanagement service (SCM) and study its effect on resident satisfaction and perceived educational value of the rotation.
methodsIn Fiscal Year (FY) 2014 and 2015, an additional faculty member was added to the SCM rotation. In FY 2014, the faculty member was a staff physician, and in FY 2015, the faculty member was an APP.. Resident workload was assessed using billing data. We measured residents' perceptions of the rotation using an anonymous electronic survey tool. We compared FY2014-2015 data to the baseline FY2013.
resultsThe number of patients seen per resident per day decreased from 8.0(SD 3.3) in FY2013 to 5.0(SD 1.9) in FY2014 (p < 0.001) and 5.7(SD 2.0) in FY2015 (p < 0.001). A higher proportion of residents reported "just right" patient volume (64.4%, 91.7%, 96.7% in FY2013, 2014, 2015 respectively p < 0.001), meeting curricular goals (79.9%, 95.0%, 97.2%, in FY2013, 2014 and 2015 respectively p < 0.001), and overall educational value of the rotation (40.0%, 72.2%, 72.6% in FY2013, 2014, 2015 respectively, p < 0.001).
conclusionsDecreasing resident workload through adding clinical faculty (both staff physician and APPs) was associated with improvements on resident perceived educational value and clinical experience of a medical consultation rotation.
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