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Academic Half Day Improves Resident Perception of Education Without Compromising Patient Safety
Matthew C Spence1, Ariel Sugarman1, Audrey Uong1
1Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, New York, NY.
Implementing an academic half day (AHD) for resident education positively impacts trainee experiences without compromising patient safety or workflow. This educational intervention shows promise for improving resident education.
Area of Science:
- Medical Education
- Patient Safety
- Healthcare Workflow Management
Background:
- Residency programs require structured didactic curricula and protected time for education.
- An academic half day (AHD) was implemented to address limitations of traditional noon conferences.
- This initiative aimed to enhance the educational experience for residents.
Purpose of the Study:
- To evaluate the impact of implementing an academic half day (AHD) on resident education.
- To assess changes in patient safety metrics following AHD implementation.
- To determine the effect of AHD on clinical workflow efficiency.
Main Methods:
- A prospective, single-site educational intervention study design was employed.
- Pre- and post-implementation surveys (including ACGME surveys) gathered data on trainee and faculty perceptions.
- Patient safety and workflow were analyzed by comparing safety event reports, RRT activations, and ED admission/discharge times on AHD vs. other weekdays.
Main Results:
- AHD implementation correlated with significant positive changes in resident attitudes and experiences, and ACGME survey results.
- No significant differences were observed in safety event report rates or rapid response team activations on AHDs.
- Median ED admission times and discharge times showed no clinically meaningful differences between AHD and non-AHD weekdays.
Conclusions:
- Academic half days (AHD) can be effectively implemented without negatively impacting patient safety or workflow.
- Resident preference for AHDs is strongly supported, aligning with previous findings.
- AHDs offer a viable framework for enhancing resident education while maintaining quality patient care.
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