Three Years of Xâ¯+â¯Y Scheduling: Longitudinal Assessment of Resident and Faculty Perceptions.
Acad Pediatr
; 22(7): 1097-1104, 2022.
Article
in En
| MEDLINE
| ID: mdl-35227911
ABSTRACT
OBJECTIVE:
Five pediatric residency programs implemented true Xâ¯+â¯Y scheduling in 2018 where residents have continuity clinic in "blocks" rather than half-day per week experiences. We report the impact Xâ¯+â¯Y scheduling has on pediatric resident and faculty perceptions of patient care and other educational experiences over a 3-year timeframe.METHODS:
Electronic surveys were sent to residents and faculty of the participating programs prior to implementing Xâ¯+â¯Y scheduling and annually thereafter (2018-2021). Survey questions measured resident and faculty perception of continuity clinic schedule satisfaction and the impact of continuity clinic schedules on inpatient and subspecialty rotations. Data were analyzed using z-tests for proportion differences.RESULTS:
One hundred and eight six residents were sent the survey preimplementation and 254 to 289 postimplementation with response rates ranging from 47% to 69%. Three hundred and seventy-eight to 395 faculty members were sent the survey with response rates ranging from 26% to 51%. Statistically significant (P < .05) sustained perceived improvements over 3 years with X+Y were seen in outpatient continuity, inpatient workflow, and time for teaching both inpatient and in continuity clinic.CONCLUSIONS:
Xâ¯+â¯Y scheduling can lead to perceived improvements in various aspects of pediatric residency programs. Our study demonstrates these improvements have been sustained over 3 years in the participating programs.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Internship and Residency
Limits:
Child
/
Humans
Language:
En
Journal:
Acad Pediatr
Year:
2022
Type:
Article