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Results from a transitional-year program director survey: identifying crucial issues and concerns
Transitional Year (TY) program directors are satisfied but concerned about workload and support. Many plan to leave their roles, highlighting a need to strengthen these crucial graduate medical education programs.
Area of Science:
- Graduate Medical Education
- Physician Training Programs
Background:
- Transitional Year (TY) programs are essential for residents entering various specialties.
- No prior surveys have detailed TY program attributes or director concerns.
Purpose of the Study:
- To characterize TY programs.
- To identify critical issues and concerns of TY program directors (TYPDs).
Main Methods:
- A web-based survey was distributed to 114 TY program directors accredited by ACGME.
- The survey collected data on program demographics, director time, support, satisfaction, and future plans.
Main Results:
- High response rate (86%) with a median program age of 28 years.
- Most programs are at community or university-affiliated hospitals.
- TYPDs expressed concerns regarding time constraints, salary support, and administrative burdens.
- 32% of TYPDs had served 10+ years, while 49% planned to leave within 5 years.
Conclusions:
- Survey findings offer insights for improving support for TYPDs.
- Recommendations can help institutions strengthen TY programs and address director retention.
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