Use of Text Messaging to Enhance Compliance with the Accreditation Council for Graduate Medical Education Resident Duty Hour Requirements

Goldstein, Evan B.; Savel, Richard H.; Chorost, Mitchell I.; Borgen, Patrick I.; Cunningham, J.

doi:10.1016/j.jsurg.2009.04.003

Cited by 4 publications

(8 citation statements)

References 4 publications

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“…[1][2][3] After implementation of the standards in 2003 and revision in 2011, numerous studies have evaluated their impact on patient safety, education, and fatigue, all resulting in systematic changes to achieve compliance based on survey data. [4][5][6][7][8][9][10][11] Most evaluations of compliance rely on resident retrospective self-reports, and the accuracy of such reports has been questioned.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of Residents' Retrospective Perceptions of 16-Hour Call Admitting Shift Compliance and Characteristics

Gonzalo¹,

Yang²,

Ngo³

et al. 2013

Journal of Graduate Medical Education

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Background The Accreditation Council for Graduate Medical Education Resident-Fellow Survey measurement of compliance with duty hours uses remote retrospective resident report, the accuracy of which has not been studied. We investigated residents' remote recall of 16-hour call-shift compliance and workload characteristics at 1 institution. Methods We sent daily surveys to second- and third-year internal medicine residents immediately after call shifts from July 2011 to June 2012 to assess compliance with 16-hour shift length and workload characteristics. In June 2012, we sent a survey with identical items to assess residents' retrospective perceptions of their call-shift compliance and workload characteristics over the preceding year. We used linear models to compare on-call data to residents' retrospective data. Results We received a survey response from residents after 497 of 648 call-shifts (77% response). The end-of-year perceptions survey was completed by 87 of 95 residents (92%). Compared with on-call data, the recollections of 5 (6%) residents were accurate; however, 48 (56%) underestimated and 33 (38%) overestimated compliance with the 16-hour shift length requirement. The average magnitude of under- and overestimation was 18% (95% confidence interval = 13–23). Using a greater than 10% absolute difference to define under- and overestimation, 39 (45%) respondents were found to be accurate, 27 (31%) underestimated compliance, and 20 (23%) overestimated compliance. Residents overestimated census size, long call admissions, and admissions after 5 pm. Conclusions Internal medicine residents' remote retrospective reporting of compliance with the 16-hour limit on continuous duty and workload characteristics was inaccurate compared with their immediate recall and included errors of underestimation and overestimation.

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Section: Introductionmentioning

confidence: 99%

Accuracy of Residents' Retrospective Perceptions of 16-Hour Call Admitting Shift Compliance and Characteristics

Gonzalo¹,

Yang²,

Ngo³

et al. 2013

Journal of Graduate Medical Education

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“…9 The study noted that residents are both proficient with their cellular phones and comfortable with using text messaging to interact with their residency program. In a short period of time, duty-hour compliance among 39 residents increased to 100% without being overly intrusive on residents' time.…”

Section: Experiences With Text Messaging In Medical Educationmentioning

confidence: 97%

“…[8][9][10] One of the more applicable studies assessed learning in obstetrics and gynecology. 10 Residents received information on breast cancer both via text message (2 or 3 messages per day for 17 days) and through a printed booklet.…”

Section: Experiences With Text Messaging In Medical Educationmentioning

confidence: 99%

“…9,10 Information sent via text message can be quickly read by the recipient and does not require the user to access the Internet, log-in to an e-mail account, or download any document; this fast-paced style appeals to medical trainees. Text messaging in medical education can function as both a private or a broad (group) method of communication.…”

Section: Embracing New Opportunities With Texting In Medical Educationmentioning

confidence: 99%

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Text Messaging in Medical Education

2014

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“…As text messaging is endemic among residents, research using text messaging as an educational tool has begun to emerge . We know that messaging residents is feasible, but there is a gap in our knowledge about texting preferences and, more importantly, the effectiveness of messaging as an educational tool . There is growing evidence that active learning is not only a preferred method but also a more effective method of learning, particularly among millennial learners: a group that composes the vast majority of residents in training .…”

Section: Introductionmentioning

confidence: 99%

Texting preferences in a Paediatric residency

et al. 2017

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Forty-one residents enrolled and 32 (78%) completed a post-programme survey. Of those, 21 (66%) preferred a Q&A format with an immediate text response versus information-only texts. The percentage change in ITE scores between 2013 and 2014 was significant. Comparing subgroups, there was no significant difference between the percentage change in ITE scores. Neither group performed significantly better on either the adolescent or developmental sections of the ITE. Text messaging… remains an underused educational tool CONCLUSIONS: Overall, participants improved their ITE scores, but no improvement was seen in the targeted subgroups on the exam. Although Q&A texts are preferred by residents, further assessment is required to assess the effect on educational outcomes.

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Use of Text Messaging to Enhance Compliance with the Accreditation Council for Graduate Medical Education Resident Duty Hour Requirements

Cited by 4 publications

References 4 publications

Accuracy of Residents' Retrospective Perceptions of 16-Hour Call Admitting Shift Compliance and Characteristics

Accuracy of Residents' Retrospective Perceptions of 16-Hour Call Admitting Shift Compliance and Characteristics

Text Messaging in Medical Education

Texting preferences in a Paediatric residency

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