Evidence map›Paper›PMID 38406009›Full record

ArticleCureus2024

Perceptions of X+Y Scheduling Among Combined Internal Medicine-Pediatrics Residency Trainees: A Qualitative Program Evaluation.

Dava Szalda, Nathan R Stehouwer, Jennifer B Walsh, Kathryn Diamond-Falk, Bhavesh Patel, Hillary Spangler, Mridula Nadamuni, Michael Contarino

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2024. 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
0.7field-weighted citation impact, top 34% 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

8 authors at 5 institutions in 1 country.

Dava SzaldaInternal Medicine-Pediatrics, Children's Hospital of Philadelphia, Philadelphia, USA.
Nathan R StehouwerInternal Medicine-Pediatrics, Case Western Reserve University School of Medicine, Cleveland, USA.
Jennifer B WalshInternal Medicine-Pediatrics, University of Texas Southwestern Medical Center, Dallas, USA.
Kathryn Diamond-FalkInternal Medicine-Pediatrics, Maine Medical Center, Portland, USA.
Bhavesh PatelInternal Medicine-Pediatrics, Children's Hospital of Philadelphia, Philadelphia, USA.
Hillary SpanglerInternal Medicine-Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Mridula NadamuniInternal Medicine-Pediatrics, University of Texas Southwestern Medical Center, Dallas, USA.
Michael ContarinoInternal Medicine-Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Case Western Reserve University · USUniversity of North Carolina at Chapel Hill · USChildren's Hospital of Philadelphia · USMaine Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study aims to elicit perceived benefits and downsides of X+Y scheduling for combined Internal Medicine-Pediatrics (Med-Peds) residents via focus groups.

methodsFive focus groups were conducted with Med-Peds residents in participating programs which utilized X+Y scheduling. Onefocus group was held per participating institution. Each focus group was facilitated by a chief resident from a different participating institution. Questions were developed by the study team after a review of the literature and local experience with X+Y scheduling and included open-ended questions. Focus groups were recorded and transcribed. Transcripts were reviewed by study team members, and representative themes and quotes were presented. The main outcome was to evaluate the perceived benefits and downsides of X+Y scheduling for Med-Peds.

resultsResults from four of the five focus groups were fully reviewed. Themes regarding the benefits of X+Y scheduling included (1) improved inpatient and outpatient experience, (2) predictability in schedule which improved wellness, and (3) longitudinal time for career exploration. Downsides of X+Y scheduling were highlighted as well including (1) condensing too many experiences into Y time and (2) challenges that exist when categorical medicine and pediatrics programs use different block schedules.

conclusionsX+Y schedules create potential solutions for longstanding barriers to medical education and notably conflict with inpatient and outpatient responsibilities. Our data shows similar benefits to X+Y scheduling for combined residents as for their categorical colleagues and sheds light on some unique considerations for combined programs and trainees. Additional studies should continue to assess the effect of X+Y scheduling on our combined trainees.

Indexed as

med-pedsmed-peds residencymed-peds resident educationresident continuity clinicx + y scheduling

Identifiers

PMID38406009
PMCPMC10893991
OpenAlexW4391256644

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.