Related Experiment Video
Updated: May 16, 2026
Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
RAFT (Resident Assessment Facilitation Team): supporting resident well-being through an integrated advising and
Elissa Foster1, Nyann Biery, Julie Dostal
1College of Communication, DePaul University, Chicago, IL 60604, USA. commscholar@hotmail.com
Background And Objectives:
During medical residency, indicators of well-being decline while rates of burnout increase. As part of a Preparing the Personal Physician for Practice (P4) innovation, this residency program used a relationship-centered periodic resident assessment process to reinforce values of adult learning within the curriculum. It was predicted that the revised assessment process would contribute to an improved educational climate for residents as reflected in global scores of well-being either remaining at the same level or improving throughout residency.
Methods:
Resident Assessment Facilitation Team (RAFT) is an innovative feedback process utilizing small-group dialogue that replaces the traditional semi-annual, faculty-wide review of resident performance. As a pilot study to investigate the impact of RAFT, the Arizona Integrative Outcome Scale (AIOS) was used to describe trends in the well-being of P4 resident cohorts from internship through PGY-3. A comparison group was derived from a resident cohort that started before full implementation of the P4 curriculum and also completed the AIOS.
Results:
ANOVA comparing AIOS scores across PGY cohort groups was not significant. An independent samples t test comparing AIOS scores from the PGY-3 pre-P4 group with those of the PGY-3 post-P4 group was also not significant. Although this pilot study was not powered for a complete inferential analysis, the descriptive data suggest a downward trend in the pre-RAFT group and stable measures of well-being in the post-RAFT group.
Conclusions:
The trend in our pilot data suggests a stability of well-being among our residents that contrasts with patterns of resident burnout noted in existing research. The RAFT has become a key feature of our assessment and advising culture that is intended to mitigate the deleterious effects of more autocratic assessment processes. It may also be an important factor in the stability of resident well-being indicated by this pilot.
More Related Videos
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Related Concept Videos
01:19Restorative Care
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:19Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
01:29Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments and...
01:25Assessment of apical radial pulse
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
01:23Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...