Impact of X+Y Scheduling on Pediatric Resident and Faculty Perceptions of Education and Patient Care

Three Years of X + Y Scheduling: Longitudinal Assessment of Resident and Faculty Perceptions

“…This was developed at 5 pediatric residency programs across the country with approval from the ACGME under the Advancing Innovation in Resident Education (AIRE) pilot. 10,11 This pilot granted the participating programs a waiver of the minimum of 26 weeks of continuity clinic rule but not the required number of 36 clinics per academic year. We were able to show that X + Y scheduling led to improved perceptions of patient continuity, inpatient workflow and handoff quality, and increased time for teaching during inpatient blocks and continuity clinic.…”

“…We were able to show that X + Y scheduling led to improved perceptions of patient continuity, inpatient workflow and handoff quality, and increased time for teaching during inpatient blocks and continuity clinic. 11 Here we report the perceptions of residents and faculty in programs with X + Y scheduling over a 3-year timeframe.…”

“…Our research methods have been described in detail previously. 11 Five pediatric residency programs across the United States implemented "true" X + Y scheduling in July of 2018 with the approval of the ACGME. These programs include Advocate Children's Hospital − Park Ridge in Park Ridge, Illionis; University of Texas at Austin Pediatrics Program, Austin, Texas; New York University Langone Health in New York, New York; Rainbow Babies and Children's Hospital in Cleveland, Ohio; and University of Toledo in Toledo, Ohio.…”

“…Data evaluating the perceptions of residents from pre-X + Y to 1 year post-X + Y have been reported previously. 11 Surveys were distributed to 186 residents across the 5 participating programs preimplementation and 259 residents at 1 year, 278 residents at 2 years, and 284 residents at 3 years post-X + Y. Response rates were 69% pre-X + Y and 47%, 68%, and 57% at 1, 2, and 3 years post-X + Y respectively.…”

“…However, our study does have some limitations as previously outlined. 11 Our surveys collected perception data and not objective data. Given this, we do not report objective data on patient continuity.…”