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Area of Science:

  • Medical Education
  • Internal Medicine
  • Healthcare Informatics

Background:

  • Optimizing resident clinical proficiency and education is crucial due to restricted duty hours.
  • Understanding intern time allocation and educational value is essential for effective training.

Purpose of the Study:

  • To investigate intern time distribution on inpatient rotations.
  • To assess the perceived educational value of various workday activities.

Main Methods:

  • A descriptive self-work sampling study was conducted.
  • Interns used personal digital assistants (PDAs) for real-time activity logging and perceived educational value ratings (4-point Likert scale).

Main Results:

  • Electronic health record (EHR) use occupied 33% of intern time, followed by team communication (23%), educational activities (17%), and patient/family time (12%).
  • Time with patients and families was rated most educational; EHR use was rated least educational.
  • Planned educational activities were perceived as excellent/good 81% of the time, compared to 37% for clinical service.

Conclusions:

  • Interns dedicate the majority of their time to EHR use and communication.
  • Planned educational activities are perceived as more valuable than clinical service time.
  • Current daily activity distribution is misaligned with interns' perceived educational value.