Evidence map›Paper›PMID 35114599›Full record

ArticleHealthcare (Amsterdam, Netherlands)2022

An innovation tournament to improve medical residency.

David A Asch, Lisa M Bellini, Sanjay V Desai, Deirdre Darragh, Elizabeth L Asch, Judy A Shea

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Healthcare (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 48% of its field
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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

6 authors at 1 institution in 1 country.

David A AschFrom the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA. Electronic address: asch@wharton.upenn.edu.
Lisa M BelliniFrom the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA.
Sanjay V DesaiFrom the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA.
Deirdre DarraghFrom the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA.
Elizabeth L AschFrom the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA.
Judy A SheaFrom the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA.
Johns Hopkins University · US

Funding

ICOMPARE-CCCU01HL125388 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ASCH, DAVID A · 2015 to 2018
$5.7M
Learning Health Systems Mentored Career Development ProgramK12HS026372 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI ASCH, DAVID A, LANE-FALL, MEGHAN BROOKS · 2018 to 2022
$3.2M
AHRQ HHS K12 HS026372NHLBI NIH HHS U01 HL125388
6 · The paper itself

Abstract

Two large national studies of resident duty hours incidentally revealed surgical and medical resident dissatisfaction with residency training. Aiming for an inclusive and democratic approach to improve graduate medical education, we conducted a national innovation tournament--reaching out to the program directors of all 474 US internal medicine residency programs to invite them and their residents and associate program directors to participate. Participants could submit multiple ideas as individuals or teams in four domains: [1] resident well-being and personal and professional development; [2] resident education and clinical preparedness; [3] resident sleep and alertness; and [4] patient safety. Residents and program directors were reinvited to rate ideas, whether they had submitted ideas themselves or not. We used a schedule of lottery-based prizes to stimulate the submission and rating of ideas and encourage engagement. 164 residents and program directors from 51 different programs submitted 328 ideas. 153 residents and program directors from 48 different programs submitted 15,345 ratings of ideas. Winning ideas aimed to reduce residents' work burden or improve their mental health, sleep, eating, or relaxation or reflected technical fixes to the operations of residency, such as changing vacation schedules and the timing of pay. The results of this tournament provided actionable suggestions to improve residency training now being tested in our own residency programs. Innovation tournaments drive engagement and generate value by their opportunities for inclusion and by shifting problem solving to the end user.

Indexed as

Internship and ResidencyEducation, Medical, GraduateHumansSurveys and QuestionnairesUnited States

Identifiers

PMID35114599
PMCPMC8881444
OpenAlexW4210597654

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.