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2010 A 3 CR 2 Annual Chief Resident Survey

2010 A 3 CR 2 Annual Chief Resident Survey. Caitlin C. Lopez, MD Mallinckrodt Institute of Radiology. Survey Format. Confidential online survey (surveymonkey.com) Multiple choice questions (single and multiple answer), free text for additional comments. Survey Topics. Recurring

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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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