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Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences
IMPORTANCE: The internal medicine (IM) chief residency is a position of leadership and honor common in IM programs, but the goals, responsibilities, and experiences of those who undertake it can be highly variable. Studies assessing the experience and impressions of the chief resident (CR) position...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Medical Association
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943621/ https://www.ncbi.nlm.nih.gov/pubmed/35319760 http://dx.doi.org/10.1001/jamanetworkopen.2022.3882 |
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author | Garg, Megha Kompala, Tejaswi Hurley, Michael López, Lenny |
author_facet | Garg, Megha Kompala, Tejaswi Hurley, Michael López, Lenny |
author_sort | Garg, Megha |
collection | PubMed |
description | IMPORTANCE: The internal medicine (IM) chief residency is a position of leadership and honor common in IM programs, but the goals, responsibilities, and experiences of those who undertake it can be highly variable. Studies assessing the experience and impressions of the chief resident (CR) position from the viewpoint of the IM CRs are lacking. OBJECTIVE: To describe the structure, responsibilities, and perceptions of the IM CR role across IM residency programs. DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional, simple descriptive electronic survey for current CRs was administered between April and June 2018 across US IM residency programs accredited by US Accreditation Council for Graduate Medical Education. A 2-step nonrandom sampling approach was used: first, snowball sampling was performed using the authors’ professional networks, and second, the survey was sent to the Association of Program Directors in Internal Medicine (APDIM) CR listserv. Data analysis was performed from June 2020 to August 2020. EXPOSURES: Participation as a CR for an IM residency program in the 2017 to 2018 academic year. MAIN OUTCOMES AND MEASURES: Descriptive CR personal and program characteristics and CR perceptions of administrative, clinical, and leadership experiences. RESULTS: Among 169 unique responses, 77 participants (46%) were female and 89 (53%) were White. The response rate was 57% (70 of 122 surveys) in the snowball sample and 12% (99 of 842 surveys) in the APDIM listserv. The 2 sampled groups were combined for analysis. Most respondents (125 CRs [74%]) were from academic or university-based programs. Common across CR responses was responsibility for administrative tasks, clinical work, and educational efforts. Most CRs (111 of 157 respondents [71%]) reported being the primary schedulers for the residency program. Clinical work differed widely across respondents. Only 70 of 156 respondents (45%) reported having an academic title associated with the CR role. CRs reported inconsistent evaluation throughout the year, with high percentages reporting never receiving feedback on teaching (34 respondents [23%]), clinical abilities (67 respondents [45%]), or leadership abilities (60 respondents [40%]). Most CRs (107 respondents [69%]) agreed that they find work as a CR fulfilling and 117 (74%) agreed they would do chief residency again. CONCLUSIONS AND RELEVANCE: Despite its ubiquity in training programs across the US, the IM CR experience is very different across programs. Recommendations are provided to consider for improvement of the CR experience, including structured feedback opportunities, maximizing educational and clinical experiences, and standardizing policies. |
format | Online Article Text |
id | pubmed-8943621 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | American Medical Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-89436212022-04-11 Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences Garg, Megha Kompala, Tejaswi Hurley, Michael López, Lenny JAMA Netw Open Original Investigation IMPORTANCE: The internal medicine (IM) chief residency is a position of leadership and honor common in IM programs, but the goals, responsibilities, and experiences of those who undertake it can be highly variable. Studies assessing the experience and impressions of the chief resident (CR) position from the viewpoint of the IM CRs are lacking. OBJECTIVE: To describe the structure, responsibilities, and perceptions of the IM CR role across IM residency programs. DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional, simple descriptive electronic survey for current CRs was administered between April and June 2018 across US IM residency programs accredited by US Accreditation Council for Graduate Medical Education. A 2-step nonrandom sampling approach was used: first, snowball sampling was performed using the authors’ professional networks, and second, the survey was sent to the Association of Program Directors in Internal Medicine (APDIM) CR listserv. Data analysis was performed from June 2020 to August 2020. EXPOSURES: Participation as a CR for an IM residency program in the 2017 to 2018 academic year. MAIN OUTCOMES AND MEASURES: Descriptive CR personal and program characteristics and CR perceptions of administrative, clinical, and leadership experiences. RESULTS: Among 169 unique responses, 77 participants (46%) were female and 89 (53%) were White. The response rate was 57% (70 of 122 surveys) in the snowball sample and 12% (99 of 842 surveys) in the APDIM listserv. The 2 sampled groups were combined for analysis. Most respondents (125 CRs [74%]) were from academic or university-based programs. Common across CR responses was responsibility for administrative tasks, clinical work, and educational efforts. Most CRs (111 of 157 respondents [71%]) reported being the primary schedulers for the residency program. Clinical work differed widely across respondents. Only 70 of 156 respondents (45%) reported having an academic title associated with the CR role. CRs reported inconsistent evaluation throughout the year, with high percentages reporting never receiving feedback on teaching (34 respondents [23%]), clinical abilities (67 respondents [45%]), or leadership abilities (60 respondents [40%]). Most CRs (107 respondents [69%]) agreed that they find work as a CR fulfilling and 117 (74%) agreed they would do chief residency again. CONCLUSIONS AND RELEVANCE: Despite its ubiquity in training programs across the US, the IM CR experience is very different across programs. Recommendations are provided to consider for improvement of the CR experience, including structured feedback opportunities, maximizing educational and clinical experiences, and standardizing policies. American Medical Association 2022-03-23 /pmc/articles/PMC8943621/ /pubmed/35319760 http://dx.doi.org/10.1001/jamanetworkopen.2022.3882 Text en Copyright 2022 Garg M et al. JAMA Network Open. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the CC-BY License. |
spellingShingle | Original Investigation Garg, Megha Kompala, Tejaswi Hurley, Michael López, Lenny Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences |
title | Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences |
title_full | Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences |
title_fullStr | Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences |
title_full_unstemmed | Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences |
title_short | Characterization of Internal Medicine Chief Resident Administrative, Educational, and Clinical Experiences |
title_sort | characterization of internal medicine chief resident administrative, educational, and clinical experiences |
topic | Original Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943621/ https://www.ncbi.nlm.nih.gov/pubmed/35319760 http://dx.doi.org/10.1001/jamanetworkopen.2022.3882 |
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