2010 A3CR2 Annual Chief Resident Survey

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