| The on-call experience of interns in internal medicine. Medical Education Task Force of Henry Ford Hospital. | |
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MedLine Citation:
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PMID: 2241437 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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As part of an effort to examine the structure and content of our residency program in internal medicine, we assessed interns' activities on call to identify problems with workload scheduling, supervision, or learning. Eleven interns were observed continuously during a 34-hour on-call period. Interns averaged 5.6 hours at the bedside, with 57 minutes of that time under direct supervision of a resident or attending physician. Nearly half of new patient examinations continued after midnight despite a special night admission team that evaluated all patients admitted after 11 pm. The interns averaged 21 beeps per 30 hours. They slept an average of 2.5 hours with two interruptions. They read about their patients an average of 4 minutes during the 34-hour period. Most supervision was away from the bedside (82/139 minutes). Bedside supervision occurred predominantly during rounds (45/57 minutes). Attending physicians averaged only 12 minutes of bedside interaction with the intern. Many of these findings were unanticipated. Structural defects in the training program were defined and are being addressed. Other training programs should consider similar analyses before making fundamental changes. |
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Authors:
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D Nerenz; H Rosman; C Newcomb; M B Bolton; G Heudebert; T Simmer; S Goldstein |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of internal medicine Volume: 150 ISSN: 0003-9926 ISO Abbreviation: Arch. Intern. Med. Publication Date: 1990 Nov |
Date Detail:
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Created Date: 1990-12-26 Completed Date: 1990-12-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372440 Medline TA: Arch Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2294-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, Henry Ford Hospital, Detroit, MI 48202. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence Hospital Bed Capacity, 500 and over Humans Internal Medicine / education* Internship and Residency / organization & administration* Medical History Taking Michigan Personnel Staffing and Scheduling Physical Examination Reading Time and Motion Studies* Work Schedule Tolerance |
| Comments/Corrections | |
Comment In:
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Arch Intern Med. 1991 Aug;151(8):1674
[PMID:
1872680
]
Arch Intern Med. 1991 Jul;151(7):1458 [PMID: 2064503 ] Arch Intern Med. 1991 Jul;151(7):1458 [PMID: 2064502 ] Arch Intern Med. 1990 Nov;150(11):2246-8 [PMID: 2241433 ] Arch Intern Med. 1991 Jul;151(7):1463 [PMID: 2064508 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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