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Survey Format. Confidential online survey (surveymonkey.com)Multiple choice questions (single and multiple answer), free text for additional comments. Survey Topics. Recurring Basic Program InformationResident BenefitsChief Resident Duties/BenefitsNew in 2010Additional questions in several s
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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. 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! Participation
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
136/228 (60%) respondents had completed >75% chief time
80% ‘very’ or ‘somewhat’ satisfied
92% would accept position again
Job Satisfaction
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
16. Program Details Current Program Size Per program
average 26.6 residents
range 6-72 residents
Per class
Mean 6.6 residents
Mode 6 residents
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
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
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
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
29. Outside Hospital Studies:Reinterpretation
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
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