In this position paper, the Alliance for Academic Internal Medicine and the American College of Physicians examine the state of graduate medical education (GME) financing in the United States and recent proposals to reform GME funding. They make a series of recommendations to reform the current funding system to better align GME with the needs of the nation's health care workforce. These recomm...

Background Resident duty hour regulations developed by the ACGME went into effect in July 2003 and were preceded by much debate among medical educators. The regulations have forced change in the structure of many residency programs. All programs, regardless of specialty, have been forced to re-evaluate the structure of patient care systems in the academic setting where the resident role in serv...

Objectives Historically at a multi-hospital residency program, there was an unexpected number of non-urgent consults from the county hospital emergency room (ER) that caused residents to make more trips between hospitals and come closer to violating duty hours. Moreover, there was also a poor follow-up rate for these patients. An alternate pathway to redirect such consults to the Otorhinolaryng...

Since the institution of Accreditation Council for Graduate Medical Education (ACGME) resident work hour restrictions, conflicting evidence exists regarding the impact on resident case volume with most data from single-institution studies. We examined the effect of restrictions on national resident operative experience. After permission from the ACGME, we reviewed the publicly available nationa...

OBJECTIVE Several barriers challenge resident engagement in learning quality improvement (QI). We investigated whether the incorporation of team-based game mechanics into an evidence-based online learning platform could increase resident participation in a QI curriculum. DESIGN Randomized, controlled trial. SETTING Tertiary-care medical center residency training programs. PARTICIPANTS Res...

Objective: To determine the prevalence of burnout syndrome among resident physicians of various specialties and to evaluate associated factors. Method: The Maslach Burnout Inventory questionnaire and a sociodemographic questionnaire were used to evaluate factors associated with the syndrome. Burnout was defined as the association of high emotional exhaustion, depersonalization and low profess...

OBJECTIVE To evaluate whether resident participation in operations influences postoperative outcomes. BACKGROUND : Identification of potential differences in outcome associated with resident participation in operations may facilitate planning from educational and health resource perspectives. METHODS From the National Surgical Quality Improvement Program database (2005-2007), postoperative ...

Abstract Introduction/Objective Resident physician moonlighting is controversial and uncommon in Pathology, usually limited to anatomic pathology grossing support. Due an acute staffing shortage our department, we offered senior AP/ CP residents program a “moonlighting” opportunity involving partnership with attendings supervise junior for transfusion medicine on-call (TMO) . Given the conflict...

PURPOSE Radiation oncology curriculum development is challenging because of limited numbers of trainees at any single institution. The goal of this project is to implement and evaluate a standardized medical student clerkship curriculum following the multi-institutional cooperative group research model. METHODS During the 2013 academic year, a standardized curriculum was implemented at 11 aca...