Evidence map›Paper›PMID 33716152›Full record

ArticleAcademic pediatrics

Impact of X+Y Scheduling on Pediatric Resident and Faculty Perceptions of Education and Patient Care.

Ross E Myers, Lynn Thoreson, Heather B Howell, Kathryn Weedon, Joyce Bevington, Patricia Poitevien, Mary Beth Wroblewski, Keith Ponitz, Joanna Lewis

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ross E MyersDepartment of Pediatrics (RE Myers), Rainbow Babies and Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, Ohio. Electronic address: ross.myers@uhhospitals.org.
Lynn ThoresonDepartment of Pediatrics (L Thoreson), The University of Texas at Austin Dell Medical School and Dell Children's Medical Center, Austin, Tex.
Heather B HowellDepartment of Pediatrics (HB Howell), New York University Grossman School of Medicine, New York, NY.
Kathryn WeedonDepartment of Pediatrics (K Weedon), Advocate Children's Hospital - Park Ridge, Park Ridge, Ill.
Joyce BevingtonDepartment of Pediatrics (J Bevington), The University of Toledo, Toledo, Ohio.
Patricia PoitevienDepartment of Pediatrics (P Poitevien), Hasbro Children's Hospital and the Warren Alpert Medical School of Brown University, Providence, RI.
Mary Beth WroblewskiDepartment of Pediatrics (J Bevington), The University of Toledo, Toledo, Ohio.
Keith PonitzDepartment of Pediatrics (RE Myers), Rainbow Babies and Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, Ohio.
Joanna LewisDepartment of Pediatrics (K Weedon), Advocate Children's Hospital - Park Ridge, Park Ridge, Ill.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
NCATS NIH HHS UL1 TR002548NCRR NIH HHS UL1 RR024989
6 · The paper itself

Abstract

purposeTraditional half-day per week continuity clinic experiences can lead to fragmented education in both the inpatient and outpatient arenas. Five pediatric residency programs were granted the ability from the ACGME to create X+Y scheduling where residents have continuity clinic in "blocks" rather than half-day per week experiences. The aim of this study is to assess the impact X+Y scheduling has on pediatric resident and faculty perceptions of patient care and other educational experiences.

methodsElectronic surveys were sent to residents and faculty of the participating programs both prior to and 12 months after implementing X+Y scheduling. Survey questions measured resident and faculty perception of continuity clinic schedule satisfaction and the impact of continuity clinic schedules on inpatient and subspecialty rotation experiences using a 5-point Likert Scale. Data were analyzed using z-tests for proportion differences for those answering Agree or Strongly Agree between baseline and post-implementation respondents.

resultsHundred and twenty-six out of 186 residents (68%) responded preimplementation and 120 out of 259 residents (47%) responded post-implementation. 384 faculty members were sent the survey with 51% response pre-implementation and 26% response at 12 months. Statistically significant (P < .05) improvements were noted in resident and faculty perceptions of ability to have continuity with patients and inpatient workflow affected by clinic scheduling.

conclusionsFrom both resident and faculty perspectives, X+Y scheduling may improve several aspects of patient care and education. X+Y scheduling could be considered as a potential option by pediatric residency programs, especially if validated with more objective data.

Indexed as

Internship and ResidencyChildContinuity of Patient CareFacultyHumansPatient CarePerceptioncontinuity clinicpediatric residencyX+Y schedule

Identifiers

PMID33716152
PMCPMC8928060

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.