Regulations that restrict resident work hours and call for increased resident supervision have increased attending physician presence in the hospital during the nighttime. The resulting increased interactions between attendings and trainees provide an important opportunity and obligation to enhance the quality of learning that takes place in the hospital between 6 PM and 8 AM. Nighttime educati...

At the outset, it might be best to say that the answer to the question of how reduced resident work hours will affect the art of healing is unsettled in the minds of most. The publication of the Institute of Medicine report, " To Err is Human: Building a Safer Health System, " in 2000 resulted in a national initiative to improve quality and safety in medicine [1]. More than a decade earlier, in...

BACKGROUND AND OBJECTIVES This study evaluated a change in immunization rates and medical resident knowledge following an educational intervention. Differences in immunization rates based on resident or patient characteristics were also assessed. METHODS This pre- and post-intervention retrospective chart review targeted family medicine and internal medicine residents at the St. Vincent Joshu...

n our own experience as medical students in the 1990s, In this issue of the Journal, Igwe et al investigate the I preparatory materials for a day in the operating room consisted of a surgical atlas, suture obtained from a wellmeaning nurse, and, if you were fortunate, a needle driver or Kocher clamp. These tools used to learn anatomy and the basic skills of knot tying and proper instrument hand...

In this issue of Pediatrics, Drolet and coauthors report the opinions of pediatric residency program directors about the 2011 resident workhour restrictions 1 year after implementation: “Resident education, quality of life, continuity of patient care have worsened, with no improvements in numerous areas including fatigue, patient safety, and supervision.” Do these opinions simply represent resi...

1 Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA The journal club is considered a standard of medical education across many institutions and fields of medicine. Our hypothesis is that the systematic evaluation and/or critical discussion of articles in journal club can change resident perception of the articles and topics examined. We performed a pilot study in w...

OBJECTIVE To identify perceived and unperceived educational needs of residents to organize a seminar series in clinical pharmacology. METHOD All pediatric residents (48) and all attending general pediatric staff (20) were sent structured questionnaires with potential seminar topics. Data from previous pharmacy chart audits and complaints lodged with patient care representatives were analyzed ...

In December 2008, the Institute of Medicine published new recommendations regarding duty hours and supervision of residents' training in the United States. These recommendations evoked immediate concerns from program directors and leadership in all surgical and medical disciplines, including pediatrics. To address these concerns, the Accreditation Council for Graduate Medical Education convened...

OBJECTIVES Inadequate sleep and long work hours are long-standing traditions in the medical profession, and work schedules are especially intense in resident physicians. However, it has been increasingly recognized that the extreme hours commonly worked by residents may have substantial occupational and patient safety consequences. Largely because of these concerns, new regulations related to r...

PURPOSE The Joint Commission mandates that health care systems provide culturally and linguistically appropriate care for patients. Similarly, the Accreditation Council for Graduate Medical Education (ACGME) requires that resident physicians learn to communicate effectively across cultures. The purpose of this study was to analyze residents' self-report of fluency in a second language and level...