Measuring the intensity of resident supervision in the department of veterans affairs: the resident supervision index.
نویسندگان
چکیده
PURPOSE To develop a survey instrument designed to quantify supervision by attending physicians in nonprocedural care and to assess the instrument's feasibility and reliability. METHOD In 2008, the Department of Veterans Affairs (VA) Office of Academic Affiliations convened an expert panel to adopt a working definition of attending supervision in nonprocedural patient care and to construct a survey to quantify it. Feasibility was field-tested on residents and their supervising attending physicians at primary care internal medicine clinics at the VA Loma Linda Healthcare System in their encounters with randomly selected outpatients diagnosed with either major depressive disorder or diabetes. The authors assessed both interrater concurrent reliability and test-retest reliability. RESULTS The expert panel adopted the VA's definition of resident supervision and developed the Resident Supervision Index (RSI) to measure supervision in terms of residents' case understanding, attending physicians' contributions to patient care through feedback to the resident, and attending physicians' time (minutes). The RSI was field-tested on 60 residents and 37 attending physicians for 148 supervision episodes from 143 patient encounters. Consent rates were 94% for residents and 97% for attending physicians; test-retest reliability intraclass correlations (ICCs) were 0.93 and 0.88, respectively. Concurrent reliability between residents' and attending physicians' reported time was an ICC of 0.69. CONCLUSIONS The RSI is a feasible and reliable measure of resident supervision that is intended for research studies in graduate medical education focusing on education outcomes, as well as studies assessing quality of care, patient health outcomes, care costs, and clinical workload.
منابع مشابه
Work Facets Predicting Overall Job Satisfaction among Resident Doctors in Selected Teaching Hospitals in Southern Nigeria: A Minnesota Satisfaction Questionnaire Survey
Background: Job satisfaction could be assessed using the single-item global approach or the multidimensional approach. This study aims to assess the work facets predicting the overall single-item job satisfaction measure among resident doctors. Materials and Methods: This descriptive study was conducted from August to October 2018 among 195 resident doctors. The survey instrument, i.e. the Min...
متن کاملImplementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety
Long working hours and sleep deprivation have been a facet of physician training in the US since the advent of the modern residency system. However, the scientific evidence linking fatigue with deficits in human performance, accidents and errors in industries from aeronautics to medicine, nuclear power, and transportation has mounted over the last 40 years. This evidence has also spawned regula...
متن کاملSupervision and autonomy of ophthalmology residents in the outpatient Clinic in the United States: a survey of ACGME-accredited programs
BACKGROUND The development and demonstration of incremental trainee autonomy is required by the ACGME. However, there is scant published research concerning autonomy of ophthalmology residents in the outpatient clinic setting. This study explored the landscape of resident ophthalmology outpatient clinics in the United States. METHODS A link to an online survey using the QualtricsTM platform w...
متن کاملRIVERSIDE UNIVERSITY HEALTH SYSTEM - MEDICAL CENTER ORTHOPAEDIC SURGERY RESIDENCY PROGRAM Sports Medicine (PGY-5)
The overall goal of the sports medicine rotation (PGY-5) is to educate the resident regarding diagnosis, treatment and prevention of sports related injuries that builds upon the PGY-3 experience. Faculty supervision will advance from direct supervision, to indirect supervision and oversight with the PGY-5 resident assuming some of the direct supervision responsibilities over the junior level re...
متن کاملWorking Conditidns and Supervision for Residents in Internal Medicine Programs: Recommendations
be placed on total continuous duty hours, but residents not disengage themselves prematurely from care of their patients; 5) residency training specifically teach techniques for balancing patient service, education, and personal life; 6) the issue of resident workload be addressed; and 7) formal evaluation of supervisory competence, explicit attention to the spirit of resident-supervisor relati...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Academic medicine : journal of the Association of American Medical Colleges
دوره 85 7 شماره
صفحات -
تاریخ انتشار 2010