Background: Balancing attending supervision with resident autonomy is intended to ensure patient safety while allowing trainees to gain graduated competency and independence upon completion of residency. ACGME work-hour restrictions have increased attending supervision, but its effect on resident education and autonomy is unclear. In order to better understand the underlying tensions and contributing factors to [...]

Background: Historical studies suggest that bedside (BS) rounding is optimal for learners. More recent studies report variable results with BS rounding viewed unfavorably among learners. Nonetheless, some academic institutions are moving toward widespread adoption of BS rounding as the preferred rounding style. On the Internal Medicine (IM) inpatient teaching services at the University of Kentucky [...]

Background: Literature regarding resident education in transitions of care is limited, particularly in geriatric populations. The University of Colorado performed a pilot of a virtual multidisciplinary conference call between providers on the geriatric inpatient unit of the University of Colorado Hospital and its Seniors Clinic. Residents rotating on the Acute Care of the Elder (ACE) [...]

Background: Event reporting has been the cornerstone of patient safety culture since the IOM report “To Err is Human” was published. Over the past 20 years, the medical literature has focused on improving the overall rates, but not the quality, of reporting. To inform change, event reports must have a standard quality of content for [...]

Background: Point-of-care ultrasound (POCUS) has expanded in popularity and practice amongst hospitalists, critical care physicians, and is a standard part of the emergency medicine curriculum for a multitude of reasons: increased diagnostic accuracy and speed, cost reduction, and reduced radiation exposure. Internal medicine (IM) residents are exposed to the practice of using POCUS at all [...]

Background: The ACGME instituted duty hour restrictions in 2003, leading to re-organization and re-structuring of resident schedules and educational opportunities. In response to these regulations, many programs, including our institution, initiated night float rotations. After noting decreased resident attendance at didactic sessions due to this model, our institution implemented various interventions to offer educational opportunities [...]