Large hospitalist programs may hurt resident learning
Hospitalist Leadership Connection, December 8, 2009
Growing hospitalist services coupled with fewer resident work hours can limit resident learning, according to a study, “Medical Student Patient Experiences Before and After Duty Hour Regulation and Hospitalist Support,” published in the December issue of Journal of General Internal Medicine.
Researchers at Northwestern University Feinberg School of Medicine studied the number of resident-patient encounters after the academic medical center implemented the work hour restrictions required by the Accrediting Council for Graduate Medical Education and implemented hospitalist services. The number of patients that a student directly cared for dropped by nearly half, from 21 to 12 patients.
“With institutional and residency changes, junior medicine clerkship students had fewer opportunities for direct care of patients and encountered a different mix of patient diagnoses,” states the study. “Increasingly during their junior medicine clerkship, students may not have exposure to basic medical conditions, which may affect their ability to care for future patients."
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