Post on 28-Dec-2015
transcript
Survey Format
• Confidential online survey (surveymonkey.com)
• Multiple choice questions (single and multiple answer), free text for additional comments
Survey Topics
• Recurring – Basic Program Information– Resident Benefits– Chief Resident Duties/Benefits
• New in 2010– Additional questions in several sections– Outside hospital studies– After-hours attending & resident coverage– Proposed 3+1 curriculum
Limitations
• Opinions and estimations
• Sampling bias (only chief residents included)
• Limit duplicate responses from programs with multiple chief residents
• 2010– 228 individual responses– 140 unique programs – 85% completed the entire survey
• 2009– 143 individual responses– 112 unique programs
• 2008– 100 total responses
• Data will be available by e-mail on request
THANK YOU FOR PARTICIPATING!
Participation
Chief Benefits
Salary bonus• 2010
– Range $0-5000– Median $1500
• 2005– Range Range $0-3600– Mean $1615
• 2000– Range $0-6000– Mean $1475
Meetings/Conferences
Others: regional radiology society; one ‘extra’ conference of chief’s choosing; AMA; ACR
Time Registration Travel Housing
AUR 68% 64% 63% 61%
RSNA 30% 15% 15% 14%
ARRS 6% 4% 2% 2%
A3CR2
American Alliance of Academic Chief Residents in Radiology
• Members– 30% programs pay dues– 8% chief residents pay dues– 2009-2010: $25 in addition to AUR membership
• Non-members– 26% programs would pay dues– 35% programs would not pay dues
State of the Chiefdom
Outgoing Chief Residents
• 136/228 (60%) respondents had completed >75% chief time
• 80% ‘very’ or ‘somewhat’ satisfied
• 92% would accept position again
Job Satisfaction
Program Details
Current Program Size• Per program
– average 26.6 residents – range 6-72 residents
• Per class– Mean 6.6 residents– Mode 6 residents
Future Program Size• 2010-2011 (2010 match)
– 17% increased in size– 79% did not change in size– 5% decreased in size
• 2011-2012 (2011 match)– 21% of programs plan to
increase size– 78% plan no change in size– <1% plan to decrease size
Resident Benefits
• AFIP stipend– $1000-2500
• Book fund– $200-1500 per year– If include travel
allowance, up to $5000 per year
• Other benefits– Meals– Parking– StatDx subscription– ACR Learning file
Vacation
• Allocation of vacation– 86% of programs
allocate vacation as individual days and/or 1-week blocks• 36% do combination
– 12% allocate in 2-week blocks
• Many programs consider ‘interview days’ as vacation days
Sick Time
• 82% of programs do not permit transfer of sick time from year to year
• 40% require that vacation and/or sick time be used for maternity/paternity leave
After-Hours: Residents• 71% use some type of night float
– 16% 4-6 weeks– 18% 7-9 weeks– 23% 10-12 weeks– 20% 13-15 weeks– 19% > 15 weeks
• Number of residents in-house for night float– 61% one resident– 26% two residents– 6% three or more residents
• Number of residents in-house for separate call pool– 34% zero residents– 41% one resident– 16% two residents– 6% three or more residents
After-Hours: PGY-2 Residents• 2009-2010 is first year PGY-2
residents were not allowed to take unsupervised call per ACGME
• Others roles for PGY-2– ‘Buddy call’ during last 6
months of year to prepare for independent call
– PGY-2 work weekend service rotations with attendings/fellows
– Integrated PGY-1 program so that PGY-2 can read independently
After-Hours: Residents
Not sub-divided between resident independent reads and resident with extended hours attending coverage
After-Hours: Residents• Ultrasound Examinations– 38% have 24/7 sonographer in-house– 36% have extended hours sonographer in-house– 43% have sonographer home call– 21% have residents perform after-hours US
– Others: combination of above to achieve extended sonographer coverage• Ex: Sonographer available 24 hours Sunday-Thursday;
residents Friday & Saturday nights• Ex: Sonographer available in-house Monday-Friday; home
call Saturday & Sunday
After-Hours: Final Reports
58% of departments have final reports (attending read) for after-hours studies within 12 hours
After-Hours: Attendings• 57% of programs have sub-specialty coverage
• 54% attendings go home at end of day (5-6pm)– 5% review all after-hours studies from home– 50% review select after-hours studies from home
• 45% in-house extended hours (10pm or MN)– 35% in 2005
• 12% 24-hour in-house– 14% in 2005
• 11% NightHawk coverage
After-Hours: Attendings24-hour in-house attending:
resident education24-hour in-house attending :
patient care
8% of programs plan to implement 24-hour in-house attending coverage during the next year, which would bring the total to 20% of programs with 24-hour in-house coverage
Outside Hospital Studies:Reinterpretation
95% of departments spend 0-10% reviewing OSH studies during day
84% of departments spend 0-10% reviewing OSH studies after-hours
Outside Hospital Studies:Reinterpretation
• 18% require OSH report be provided prior to re-interpretation
• 32% have written policy regarding resident re-interpretation
• 79% archive OSH studies to PACS
• PACS archiving– 95% have support staff
archive during work day
– 62% have support staff archive after-hours
– 5% have radiologists archive during work day
– 10% have radiologists archive after-hours
– Other: requesting physician archives
3 + 1 Curriculum
• 4% have existing 3+1 curriculum• 20% will implement 3+1 in July, 2010• 20% will implement 3+1 in July, 2011 or 2012
3 + 1 Curriculum: Selectives• Time allotted– 17% will offer 4-6 months– 13% will offer 7-9 months– 4% will offer 10-12 months– Remainder unknown
• Use of time– 36% permit division of time between multiple
subspecialties– 3% require time reserved for single subspecialty– Remainder unknown