The evolution of medical resident training and healthcare delivery: Good riddance to the “July effect”

Abstract

Key Points The present observational study from the National Inpatient Sample found no evidence of a “July effect” associated with acute myocardial infarction (AMI) in‐hospital mortality rates in teaching hospitals. Multifactorial quality improvement in the delivery of care for AMI patients has ameliorated potentially detrimental effects of trainee inexperience historically observed in high‐risk admissions. Efforts to minimize unnecessary variability in care delivery and to consistently implement guideline‐directed medical therapy are ongoing via electronic health record software.