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2010 A 3 CR 2 Annual Chief Resident Survey

Gain valuable insights from the 2010 Radiology Chief Resident Survey including responsibilities, benefits, satisfaction levels, and future trends in academic programs.

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2010 A 3 CR 2 Annual Chief Resident Survey

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  1. 2010 A3CR2 Annual Chief Resident Survey Caitlin C. Lopez, MD Mallinckrodt Institute of Radiology

  2. Survey Format • Confidential online survey (surveymonkey.com) • Multiple choice questions (single and multiple answer), free text for additional comments

  3. 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

  4. Limitations • Opinions and estimations • Sampling bias (only chief residents included) • Limit duplicate responses from programs with multiple chief residents

  5. Participation • 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!

  6. Chief Responsibilities

  7. Schedule Method Person-hours

  8. Chief Benefits Salary bonus 2010 Range $0-5000 Median $1500 2005 Range Range $0-3600 Mean $1615 2000 Range $0-6000 Mean $1475

  9. Meetings/Conferences Others: regional radiology society; one ‘extra’ conference of chief’s choosing; AMA; ACR

  10. A3CR2American 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

  11. State of the Chiefdom Outgoing Chief Residents Job Satisfaction • 136/228 (60%) respondents had completed >75% chief time • 80% ‘very’ or ‘somewhat’ satisfied • 92% would accept position again

  12. Chief Residents Fellowship: 94% plan to complete fellowship 87% in 2009 82% in 1999

  13. Chief Residents Practice Setting:

  14. Program Details

  15. Program Details Hospitals Covered Studies per Year

  16. Program Details Current Program Size 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 • Per program • average 26.6 residents • range 6-72 residents • Per class • Mean 6.6 residents • Mode 6 residents

  17. Resident Benefits

  18. 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

  19. 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

  20. 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

  21. Work Day

  22. 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

  23. 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

  24. After-Hours: Residents Not sub-divided between resident independent reads and resident with extended hours attending coverage

  25. 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

  26. After-Hours: Final Reports 58% of departments have final reports (attending read) for after-hours studies within 12 hours

  27. 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

  28. After-Hours: Attendings 24-hour in-house attending: resident education 24-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

  29. 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

  30. 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

  31. Outside Hospital Studies: Reinterpretation Other: cost to patient, time constraints

  32. 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

  33. 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

  34. Thank You • Chief resident participants • Laurie May at RSNA • Dave Naeger • Jennifer Gould • Travis Henry, Matt Gipson, Jim Kelly, Vinnie Mellnick, and Jessica Huang

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