Residency

Duke residency program takes innovative approach to implementing change

Residency Program Insider, October 12, 2010

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With new mandated duty hour requirements, many residency programs must shuffle their schedules, services, and work flows. For many programs, the change is going to be trial-by-error as program and department leaders rework resources to comply with the new standards.

Duke University’s internal medicine program proposes an innovative approach to implementing change in the July Academic Medicine. Rather than jumping in and making changes to the program, program leaders first found out how other similar programs met ACGME standards while maintaining appropriate schedules and workloads for residents.

Duke sent resident teams to several similar programs to conduct a survey and study the programs’ work flows. The information gathered produced six core ideals on which Duke’s internal medicine program redesigned its medicine service:

  • Emphasize patient safety
  • Reduce resident work compression
  • Create educational opportunities
  • Ensure automatic duty hours compliance
  • Preserve essential program attributes
  • Involve stakeholders


For more, see the article in Academic Medicine (subscription required).



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