Characteristics of Highly Rated Internal Medicine Attendings Before and After the 2004 Work-Hour Restrictions. Mil Med 2016 Jan;181(1):76-81
Date
01/08/2016Pubmed ID
26741480DOI
10.7205/MILMED-D-14-00445Scopus ID
2-s2.0-84978176823 (requires institutional sign-in at Scopus site)Abstract
OBJECTIVES: To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation of the 2004 work-hour restrictions.
METHODS: Mixed methods study of resident ratings of medicine attendings (Period 1: 1994-1996, n = 250 and Period 2: 2007-2009, n = 152). Residents evaluated 17 attending characteristics. The top 25% of "overall" ratings were classified as "highly rated." Two free-text questions included "What was your attending's best characteristic?" and "How could your attending best improve?" and were coded in duplicate, using grounded qualitative methods.
RESULTS: There were no differences in the characteristics of highly rated attendings in the two time periods. Characteristics associated with being a top-rated attending included enthusiasm (odds ratio [OR]: 5.69, 2.78-11.67), balanced teaching style (OR: 3.63, 1.64-8.02), promoting independent thinking (OR: 2.90, 0.96-8.74), fund of knowledge (OR: 2.73, 1.13-6.58), and time management (OR: 1.78, 1.14-2.80). Among the 1,410 utterances, valued attending attributes included helpfulness, promoting independent thinking, and having strong medical knowledge.
CONCLUSIONS: The characteristics valued by residents in attendings did not change over time despite a major structural change in work hours and patterns of teaching. These valued characteristics continue to be a strong general fund of knowledge, enthusiasm for teaching, and balance between didactic and bedside approaches.
Author List
Mallory R, Jackson JL, Mondragon D, Hatzigeorgiou C, DeZee KJ, Greenburg D, O'Malley PGAuthor
Jeffrey L. Jackson MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAttitude of Health Personnel
Clinical Competence
Female
Humans
Internal Medicine
Internship and Residency
Male
Medical Staff, Hospital
Middle Aged
Personnel Staffing and Scheduling
