Examining the July Effect: A National Survey of Academic Leaders in Medicine

Levy, Kathryn; Voit, Jessica H.; Gupta, Amit; Petrilli, Christopher M.; Chopra, Vineet

doi:10.1016/j.amjmed.2016.05.001

Cited by 15 publications

(11 citation statements)

References 13 publications

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“…There are varying response rates reported in literature for email/web based surveys, ranging from 13% 27 to 80%. 28,29 With this in mind, it is important to remember how frequently residents and staff physicians receive surveys. As these survey requests add to existing burdens, it is likely that residents and staff physicians will be less likely to complete them unless there is an incentive or requirement.…”

Section: Discussionmentioning

confidence: 99%

A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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ObjectivesThis study aimed to determine otolaryngology residents' quality of life and sleepiness.MethodsAn electronic survey was distributed to otolaryngology residents in the United States in October 2014 and May 2015. The survey included questions from the Physician Well‐Being Index (PWBI) and Epworth Sleepiness Scale (ESS). Data were analyzed using standard descriptive and frequency analyses, Spearman correlations, and Student's t‐test.ResultsThe 196 respondents (13% response rate) had a mean age of 29.9 years and worked an average of 70.88 hours/week. Higher PWBI score (lower quality of life) correlated with higher ESS (more sleepiness) for all respondents regardless of rotation (Spearman coefficient of .45; p = .001). PWBI scores were higher for head/neck oncology. Both PWBI and ESS scores were highest for postgraduate year two. PWBI showed a significant positive correlation with hours worked (correlation coefficient .35; p = .001) as well as a significant negative correlation with exercise time (correlation coefficient ‐.18; p = .010). There was a positive correlation between hours worked and ESS (correlation coefficient .48; p = .001).ConclusionFor the otolaryngology survey respondents, sleepiness and overall well‐being were better during the first year with a dramatic worsening during junior years followed by an improvement in the senior years. More work hours and poor quality of life was associated with less physically active residents. Focused interventions during these rotations may reduce distress, improve quality of life, and enhance learning.Level of EvidenceNA

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Section: Discussionmentioning

confidence: 99%

A study of otolaryngology resident quality of life and sleepiness

Garcia‐Rodriguez

Sanchez

et al. 2017

Laryngoscope Investig Oto

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“…A lack of developmental continuity between undergraduate (UME) and graduate medical education (GME) creates disorienting friction at the onset of residency training [ 1 , 2 ]. An abrupt transition results in lost momentum in professional growth, as well as problems with wellbeing and concerns about the quality and safety of patient care [ 1 , 2 ].…”

Section: Main Text Introductionmentioning

confidence: 99%

Bridging the Gap from Student to Doctor: Developing Coaches for the Transition to Residency

Winkel

Gillespie

Park

et al. 2022

Medical Education Online

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Background A lack of educational continuity creates disorienting friction at the onset of residency. Few programs have harnessed the benefits of coaching, which can facilitate self-directed learning, competency development, and professional identity formation, to help ease this transition. Objective To describe the process of training faculty Bridge Coaches for the Transition to Residency Advantage (TRA) program for interns. Methods Nineteen graduate faculty educators participated in a coaching training course with formative skills assessment as part of a faculty development program starting in January 2020. Surveys (n = 15; 79%) and a focus group (n = 7; 37%) were conducted to explore the perceived impact of the training course on coaching skills, perceptions of coaching, and further program needs during the pilot year of the TRA program. Results Faculty had strong skills around establishing trust, authentic listening, and supporting goal-setting. They required more practice around guiding self-discovery and following a coachee-led agenda. Faculty found the training course to be helpful for developing coaching skills. Faculty embraced their new roles as coaches and appreciated having a community of practice with other coaches. Suggestions for improvement included more opportunities to practice and receive feedback on skills and additional structures to further support TRA program encounters with coaches. Conclusions The faculty development program was feasible and had good acceptance among participants. Faculty were well-suited to serve as coaches and valued the coaching mindset. Adequate skills reinforcement and program structure were identified as needs to facilitate a coaching program in graduate medical education.

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“…The existence of a deleterious effect on patient care that accompanies the annual cohort turnover of residentscolloquially referred to as the 'July Effect'continues to be debated in the literature [1][2][3][4][5][6]. In practice, however, many internal medicine residency program leaders believe in the July Effect's existence and have invested resources in combatting it [7]. While most of the interventions are didactic and target new post-graduate year (PGY) 1 residents, [7,8] approximately 60% of programs conduct orientation programs to support rising PGY2 residents transitioning into supervisory roles [7,[9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…In practice, however, many internal medicine residency program leaders believe in the July Effect's existence and have invested resources in combatting it [7]. While most of the interventions are didactic and target new post-graduate year (PGY) 1 residents, [7,8] approximately 60% of programs conduct orientation programs to support rising PGY2 residents transitioning into supervisory roles [7,[9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Since Wipf and colleagues first published about their transition course for their new PGY2 medicine residents at the University of Washington in 1995 [10], other institutions have replicated or adapted their work to create courses for their rising senior residents [7,[9][10][11][12][13]. In line with prior needs assessments, these orientations typically focus on leadership and teaching skills [9,11,13,14].…”

Section: Introductionmentioning

confidence: 99%

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The ‘July Effect’ in supervisory residents: assessing the emotions of rising internal medicine PGY2 residents and the impact of an orientation retreat

Strohbehn

Levy

Tsao

et al. 2020

Medical Education Online

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2020) The 'July Effect' in supervisory residents: assessing the emotions of rising internal medicine PGY2 residents and the impact of an orientation retreat, Medical Education Online, 25:1, 1728168, ABSTRACT Background: The arrival of new residents brings challenges for residency programs and residents. Many residency programs conduct orientation sessions to help transition rising supervisory residents into their new roles, but no evaluation of their impact on residents' emotional well-being has been performed.Objective: This study assesses the impact of a half-day orientation retreat on rising internal medicine post-graduate year (PGY) 2 residents' emotions toward PGY2 year and their selfconfidence in fulfilling the supervisory resident role. Design: A survey was administered to a class of rising supervisory residents immediately before and after an orientation retreat in May 2017. The survey provided participants an open-ended prompt to describe their emotions toward PGY2 year and a 5-point Likert scale to rate their confidence in fulfilling supervisory resident roles. Differences were assessed using McNemar's exact and Wilcoxon signed-rank tests, respectively. Results: Forty-four of 50 (88%) eligible participants completed pre-and post-intervention Likert scales and 40 of 50 (80%) eligible participants completed corresponding emotion sections. Pre-intervention the most common emotions were anxiety (n = 33, 82.5%) and excitement (n = 32, 80.0%). Post-intervention, participants' fear was reduced (45.0% vs 12.0%; p < 0.001). Participants reported greater confidence that internship prepared them for PGY2 year and understanding of triaging and admitting principles (agree or strongly agree from 65.9% to 84.0% and from 25.0% to 68.2%, respectively; p < 0.005 for improvement by Wilcoxon signed-rank for both). Conclusions: Orientation retreats may be an effective way to reduce fear and demystify the supervisory resident role. ARTICLE HISTORY

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Examining the July Effect: A National Survey of Academic Leaders in Medicine

Cited by 15 publications

References 13 publications

A study of otolaryngology resident quality of life and sleepiness

A study of otolaryngology resident quality of life and sleepiness

Bridging the Gap from Student to Doctor: Developing Coaches for the Transition to Residency

The ‘July Effect’ in supervisory residents: assessing the emotions of rising internal medicine PGY2 residents and the impact of an orientation retreat

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