Providing Delayed, In-Person Collected Feedback From Residents to Teaching Faculty: Lessons Learned.

Teaching faculty request timely feedback from residents to improve their skills. Yet even with anonymous processes, this upward feedback can be difficult to obtain as residents raise concerns about identification and repercussions. To examine faculty perception of the quality and content of feedback from residents after increasing anonymity and sacrificing timeliness.

Effect of Increased Interprofessional Familiarity on Team Performance, Communication, and Psychological Safety on Inpatient Medical Teams: A Randomized Clinical Trial.

Importance: In large academic centers, medical residents work on multiple clinical floors with transient interactions with nursing colleagues. Although teamwork is critical in delivering high-quality medical care, little research has evaluated the effect of interprofessional familiarity on inpatient team performance.

Objective: To determine the effectiveness of increased familiarity between medical residents and nurses on team performance, psychological safety, and communication.

Residency Program Responses to Early COVID-19 Surges Highlight Tension as to Whether Residents Are Learners or Essential Workers.

Purpose: To quantify the extent to which internal medicine (IM) residents provided care for patients with COVID-19 and examine characteristics of residency programs with or without plans (at some point) to exclude residents from COVID-19 care during the first 6 months of the pandemic.

Method: The authors used data from a nationally representative, annually recurring survey of U.S.

Prevalence and Sources of Mistreatment Experienced by Internal Medicine Residents.

This survey study examines the prevalence and sources of mistreatment toward internal medicine residents.

Parental Leave Policies in Residency: A National Survey of Internal Medicine Program Directors.

Purpose: To characterize the existence, accessibility, and content of parental leave policies, as well as barriers to program-level policy implementation among internal medicine (IM) program directors (PDs) and to assess the willingness of PDs to implement a national standardized policy.

Method: In 2019, the Association of Program Directors in Internal Medicine conducted a survey of 422 IM PDs. Along with other content, 38 questions addressed 4 primary outcomes: parental leave policy existence, accessibility, content, and barriers.

The State of Morning Report in the Current Healthcare Landscape: a National Survey of Internal Medicine Program Directors.

Background: Case-based Morning Report (MR) has long been the predominant educational conference in Internal Medicine (IM) residency programs. The last comprehensive survey of IM MR was in 1986. Much has changed in the healthcare landscape since 1986 that may impact MR.

Does Increased Schedule Flexibility Lead to Change? A National Survey of Program Directors on 2017 Work Hours Requirements.

Background: The learning and working environment for resident physicians shifted dramatically over the past two decades, with increased focus on work hours, resident wellness, and patient safety. Following two multi-center randomized trials comparing 16-h work limits for PGY-1 trainees to more flexible rules, the ACGME implemented new flexible work hours standards in 2017.

Objective: We sought to determine program directors' (PDs) support for the work hour changes and programmatic response.

Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Education: A Randomized Clinical Trial.

Importance: While the relationship between resident work hours and patient safety has been extensively studied, little research has evaluated the role of attending physician supervision on patient safety.

Objective: To determine the effect of increased attending physician supervision on an inpatient resident general medical service on patient safety and educational outcomes.

Design, Setting, And Participants: This 9-month randomized clinical trial performed on an inpatient general medical service of a large academic medical center used a crossover design.

Update in hospital medicine: Evidence you should know.

Background: The practice of hospital medicine is complex, and the number of clinical publications each year continues to grow. To maintain best practice it is necessary for hospitalists to stay abreast of the literature, but difficult to accomplish due to time. The annual Society of Hospital Medicine meeting offers a plenary session on Updates in Hospital Medicine.

Improving the discharge process by embedding a discharge facilitator in a resident team.

Background: Hospital discharges are vulnerable periods for patient safety, especially in teaching hospitals where discharges are done by residents with competing demands. We sought to assess whether embedding a nurse practitioner on a medical team to help physicians with the discharge process would improve communication, patient follow-up, and hospital reutilization.

Methods: A 5-month randomized controlled trial was conducted on the medical service at an academic tertiary-care hospital.

A controlled trial of a rapid response system in an academic medical center.

A medical emergency team composed of house staff and existing float-pool nurses was successfully implemented on the general medical floor of an academic medical center without increasing personnel. The intervention had little noticeable impact, although the number of cardiac arrests and deaths were low both before and after the intervention.