“Same as It Ever Was”—Only Different: A Successful ACGME Innovative Project to Equip PGY I Residents to Take At-Home Call

Osdol, Andrew D. Van; O’Heron, Colette T.; Jarman, Benjamin T.

doi:10.1016/j.jsurg.2014.06.002

Cited by 3 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This highlights the discernible deficiency in IBD health care and the need to implement additional strategies to improve practice competence with IBD health maintenance management. 6,10,11 In our study, we found a positive correlation between an inservice educational intervention and fellows' compliance with IBD health maintenance management. Before intervention, the mean compliance rate was 65%, which significantly improved to 83% after the educational session.…”

Section: Discussionsupporting

confidence: 49%

“…This demonstrates the need to implement additional strategies to improve our clinical performance with IBD health maintenance management. 3,[9][10][11] In our study, we assessed the educational value of incorporating an inservice educational session on IBD health maintenance management to our gastroenterology fellowship curriculum. We believe this educational intervention will increase awareness of the unique health maintenance needs of patients with IBD and help fellows build good documentation practices in accordance with the standards specified by the Crohn's and Colitis Foundation of America (CCFA) guideline.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Providing Our Fellows in Training with Education on Inflammatory Bowel Disease Health Maintenance to Improve the Quality of Care in Our Health Care System

Lee

Kraemer

Smotherman

et al. 2016

Inflammatory Bowel Diseases

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 49%

mentioning

confidence: 99%

Providing Our Fellows in Training with Education on Inflammatory Bowel Disease Health Maintenance to Improve the Quality of Care in Our Health Care System

Lee

Kraemer

Smotherman

et al. 2016

Inflammatory Bowel Diseases

View full text Add to dashboard Cite

show abstract

“…25 Robust assessment systems that are optimized and tailored for an individual program's workflow are essential as CCC in other fields make decisions around graduated responsibilities. 26,27 Further study-after our CCC has more experience with the EPA and other EPAs-may demonstrate the value of such data to support entrustment decisions.…”

Section: Discussionmentioning

confidence: 96%

Feasibility of an Entrustable Professional Activity for Pathology Resident Frozen Section Training

Bryant

2021

Academic Pathology

View full text Add to dashboard Cite

Entrustable professional activities are an intuitive form of workplace-based assessment that can support competency-based medical education. Many entrustable professional activities have been written and published, but few studies describe the feasibility or implementation of entrustable professional activities in graduate medical education. The frozen section entrustable professional activit was introduced into the pathology residency training at the University of Vermont for postgraduate year 1 at the start of their training in frozen section. The feasibility of the entrustable professional activit was evaluated based on 3 criteria: (a) utilization, (b) support of frozen section training, and (c) generating data to support entrustment decision about residents’ readiness to take call. The entrustable professional activit was well utilized and satisfactory to residents, faculty, pathologists’ assistants, and Clinical Competency Committee members. Most members of the Clinical Competency Committee agreed they had sufficient data and noted higher confidence in assessing resident readiness to take call with the addition of entrustable professional activit to the residents’ assessment portfolio. Residents did not endorse it helped them prepare for call; however, the interruption to frozen section training due to the COVID-19 pandemic was a significant contributing factor. The frozen section entrustable professional activit is a feasible addition to pathology resident training based on utilization, support of training, and generation of data to support entrustment decisions for graduated responsibilities. The implementation and integration of the entrustable professional activit into pathology training at our institution is described with discussion of adjustments for future use.

show abstract

“…4,5 A possible workaround has been to establish home calls. 6 However, even a small number of pages and phone calls overnight can can disrupt sleep and potentially cause fatigue. 7,8 Numerous studies have shown that sleep loss compromises physicians' performance and well-being.…”

mentioning

confidence: 99%

Turning a new “page”: ways to decrease the number of pages after hours without compromising patient care

Schröder

Farhat

Bägli

et al. 2020

cjs

View full text Add to dashboard Cite

Turning a new "page": ways to decrease the number of pages after hours without compromising patient care Background: Pages to house staff after hours, especially overnight, lead to interrupted sleep and fatigue the next day. Although some pages are urgent, others may not need an immediate response. In this study we aimed to identify unwarranted pages and to establish ways to reduce them. Methods: Over 2 months, all pages to the Department of Pediatric Urology at the Hospital for Sick Children in Toronto, Canada, during call hours were documented, including the assessment of the responding physicians of their medical necessity. After analyzing the reasons for inappropriate pages, we took several steps to try to reduce them without impairing patient care. One year later, pages were tracked again to evaluate the efficacy of our interventions. Results: In the initial measurement period, no calls from parents and approximately 50% of the in-hospital pages (15 of 36 pages from the wards, 27 of 49 pages from the emergency department, 17 of 31 pages requesting consultations, and 8 of 8 pages from the inhouse pharmacy and outside pharmacies) were considered medically urgent. The reasons for unwarranted pages were inconsistent parent teaching, lack of adequate triaging and prioritizing on the ward and lack of awareness of the structure of the on-call provisions among different services in the hospital. Several steps were taken to streamline the teaching of parents and nurses, standardize information, provide alternative means of communication within the hospital and restrict parents' access by phone to the urologist on call. One year later, the number of pages had decreased by 70%. Conclusion:Although physician coverage throughout the day and night is necessary for high-quality and safe patient care, communication with on-call physicians should be only for appropriate reasons. The provision of consistent teaching and alternative communication channels can improve patient care as well as decrease the number of after-hour pages.Contexte : Les appels au personnel interne par téléavertisseur, surtout la nuit, perturbent le sommeil et entraînent de la fatigue le lendemain. Même si certains de ces appels sont urgents, d'autres ne nécessitent pas de réponse immédiate. Avec cette étude nous avons voulu identifier les appels par téléavertisseur qui sont injustifiés et trouver des façons d'en réduire le nombre. Méthodes : Sur une période 2 mois, nous avons documenté tous les appels par téléavertisseur adressés durant les heures de garde au service d'urologie pédiatrique de l'Hôpital SickKids de Toronto, au Canada, et demandé aux médecins y ayant répondu d'en évaluer le bien-fondé au plan médical. Après avoir analysé les raisons des appels jugés injustifiés, nous avons adopté plusieurs mesures pour en réduire le nombre sans compromettre les soins. Un an plus tard, nous avons de nouveau comptabilisé les appels par téléavertisseur pour mesurer l'efficacité de nos interventions. Résultats : Durant la période de mesure initiale, aucun ap...

show abstract

“Same as It Ever Was”—Only Different: A Successful ACGME Innovative Project to Equip PGY I Residents to Take At-Home Call

Cited by 3 publications

References 9 publications

Providing Our Fellows in Training with Education on Inflammatory Bowel Disease Health Maintenance to Improve the Quality of Care in Our Health Care System

Providing Our Fellows in Training with Education on Inflammatory Bowel Disease Health Maintenance to Improve the Quality of Care in Our Health Care System

Feasibility of an Entrustable Professional Activity for Pathology Resident Frozen Section Training

Turning a new “page”: ways to decrease the number of pages after hours without compromising patient care

Contact Info

Product

Resources

About