Evidence map›Paper›PMID 40382670›Full record

ArticleMedical education online2025

How much time do internal medicine residents spend on self-directed learning and on which resources: a multi-center study.

Shreya P Trivedi, Anthony R Artino, Adam Rodman, R Logan Jones, Jafar Al-Mondhiry, Timothy Rowe, Tyler Larsen, Sarai Ambert-Pompey, Devesh Rai, Ahmed Ghoneem and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Medical education online, 2025. 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
–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

1 citing paper in PubMed.

  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

15 authors.

Shreya P TrivediDivision of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID 0000-0001-7183-0624
Anthony R ArtinoSchool of Medicine and Health Sciences, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Adam RodmanDivision of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
R Logan JonesDepartment of Medicine, Oregon Health and Science University, Portland, OR, USA.
Jafar Al-MondhiryInova Schar Cancer Institute, Fairfax, VA, USA.
Timothy RoweDivision of Pulmonary and Critical Care Medicine, McGaw Medical Center of Northwestern University, Chicago, IL, USA.
Tyler LarsenDepartment of Medicine, VA Greater Los Angeles, Los Angeles, CA, USA.
Sarai Ambert-PompeyDepartment of Medicine, Boise VA Medical Center, Boise, ID, USA.
Devesh RaiDepartment of Cardiology, Sands-Constellation Heart Institute, Rochester Regional Health, Rochester, NY, USA.
Ahmed GhoneemDepartment of Cardiovascular Medicine, University of Pittsburgh Medical Center, Harrisburg, PA, USA.
Nicholas GowenDepartment of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Melina ManolasDepartment of Medicine, New York Presbyterian-Weill Cornell Medical Center, New York, NY, USA.
Martin FriedDepartment of Internal Medicine, Ohio State University Wexner Medical Center, Columbus, OH, USA.
Shrunjal TrivediDivision of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Kelly L GrahamDivision of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increased clinical demands and newer means of self-directed learning (SDL) necessitate an understanding of how medical residents are supporting their learning. To examine the patterns of SDL engagement among internal medicine residents, their attitudes and behaviors with various resources, and evaluate the relationship between the clinical learning environment (CLE) and the time residents allocate to SDL and types of resources. This cross-sectional study used a systematic questionnaire informed by previous qualitative research on SDL among internal medicine residents. Internal medicine (IM) residents from 10 residency programs across the United States participated, providing a diverse representation of geographical and institutional contexts. Residents were asked to estimate weekly hours spent on SDL during their last clinical rotation, on which resources, and then to rank the usefulness of each resource. The survey also measured several variables, including attitudes and behaviors after using the resource they perceived to be the most useful, and the influence of training level, residency program type, clinical rotation, and number of hours worked clinically per week on reported time spent on SDL and types of resources. The response rate was 69.5% (783/1,126). Residents dedicated a mean of 18.2 (SD 18.6) hours per week (median of 10.5 hours per week) to SDL. Community-based programs reported more hours of SDL. There was no difference in hours spent on SDL based on the last clinical rotation, number of hours worked clinically, or PGY level. Senior residents favored digital resources, like podcasts, and were less likely to use traditional resources, like textbooks than interns. Our findings underscore the substantial time residents devote to SDL. In light of these results, educators and healthcare systems will need to work together to better support residents in optimizing the complex clinical learning environment.

Indexed as

Internal MedicineInternship and ResidencySelf-Directed Learning as TopicAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesTime FactorsUnited Statesclinical learning environmentgraduate medical educationlearning resourcesSelf-directed learningsurvey designtechnology in teaching

Identifiers

PMID40382670
PMCPMC12086941

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.