The American Journal of Medicine
Volume 123, Issue 1 , Pages 89-94 , January 2010

Ambulatory Training Since Duty Hour Regulations: A Survey of Program Directors

  • Jennifer R. Zebrack, MD

      Affiliations

    • Department of Medicine, University of Nevada School of Medicine, Reno
    • Corresponding Author InformationReprint requests should be addressed to Jennifer R. Zebrack, MD, Associate Professor of Medicine, University of Nevada School of Medicine, 1500 E. 2nd Street, Suite 302, Reno, NV 89502
    • ,
  • Kathlyn E. Fletcher, MD, MA

      Affiliations

    • Zablocki VA Medical Center, Department of Medicine, Medical College of Wisconsin, Milwaukee
    • ,
  • Brent W. Beasley, MD

      Affiliations

    • Department of Medicine, University of Missouri-Kansas City, St Luke's Hospital, Kansas City
    • ,
  • Jeff Whittle, MD, MPH

      Affiliations

    • Zablocki VA Medical Center, Department of Medicine, Medical College of Wisconsin, Milwaukee

References 

  1. Association of Program Directors in Internal Medicine. Redesigning residency education in internal medicine: a position paper from the Association of Program Directors in Internal Medicine. Ann Intern Med. 2006;144:920–926
  2. Education Committee of American College of Physicians. Redesigning training from internal medicine. Ann Intern Med. 2006;144:927–932
  3. Holmboe ES, Bowen JL, Green M, et al. Reforming internal medicine residency training: a report from the Society of General Internal Medicine's Task Force for Residency Reform. J Gen Intern Med. 2005;20:1165–1172
  4. Bowen JL, Salerno SM, Chamberlain JK, et al. Changing habits of practice: transforming internal medicine residency education in ambulatory settings. J Gen Intern Med. 2005;20:1181–1187
  5. Barker LR. Curriculum for ambulatory care training in medical residency: rationale, attitudes, and generic proficiencies. J Gen Intern Med. 1990;5(1 Suppl):S3–S14
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  9. Cook DA, Dupras DM. Teaching on the web: automated online instruction and assessment of residents in an acute care clinic. Med Teach. 2004;26:599–603
  10. Cook DA, Dupras DM, Thompson WG, Pankratz VS. Web-based learning in resident's continuity clinics: a randomized, controlled trial. Acad Med. 2005;80:90–97
  11. Jotkowitz A, Oh J, Tu C, Elkin D, et al. The use of personal digital assistants among medical residents. Med Teach. 2006;28:382–384
  12. Sequist TD, Singh S, Pereira AG, et al. Use of an electronic medical record to profile the continuity clinic experiences of primary care residents. Acad Med. 2005;80:390–394
  13. Goltein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med. 2005;165:2601–2606
  14. http://residency.med.yale.edu/traditional/omc.htmlAccessed February 1, 2009
  15. http://www.hopkinsile.orghttp://www.maimonidesmed.org/body.cfm?id=402Accessed February 1, 2009
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  19. The Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Resident Education in Internal Medicine. http://www.acgme.org/acWebsite/downloads/RRC_progReq/140_internal_medicine_07012009.pdfAccessed December 31, 2008
  20. DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care—a national survey of physicians. N Engl J Med. 2008;359:50–60
  21. Hoellein AR, Feddock CA, Griffith CH, et al. Are continuity clinic patients less satisfied when the resident is postcall?. J Gen Intern Med. 2004;19:562–565
  22. Horwitz LI, Krumholz HM, Huot SJ, Green ML. Internal medicine residents' clinical and didactic experiences after work hour regulation: a survey of chief residents. J Gen Intern Med. 2006;21:961–965
  23. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Institute of Medicine. http://www.iom.edu/CMS/3809/48553/60449.aspxAccessed December 31, 2008

 Funding: None.

 Conflict of Interest: None of the authors have any conflicts of interest associated with the work presented in this manuscript.

 Authorship: All authors had access to the data and played a role in writing this manuscript.

PII: S0002-9343(09)00716-5

doi: 10.1016/j.amjmed.2009.07.015

The American Journal of Medicine
Volume 123, Issue 1 , Pages 89-94 , January 2010

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