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Jana Cole M.D., Ellen Farrokhi M.D., Karen Horvath M.D., Doug Brock PhD.,

THE CONSTRAINTS OF THE 80-HOUR WORK WEEK ON DIDACTIC TEACHING: MAXIMIZING EFFECTIVENESS AND SURGICAL RESIDENT SATISFACTION. Jana Cole M.D., Ellen Farrokhi M.D., Karen Horvath M.D., Doug Brock PhD., Carlos Pellegrini M.D., Gary Mann M.D. University of Washington Department of Surgery.

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Jana Cole M.D., Ellen Farrokhi M.D., Karen Horvath M.D., Doug Brock PhD.,

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  1. THE CONSTRAINTS OF THE 80-HOUR WORK WEEK ON DIDACTIC TEACHING: MAXIMIZING EFFECTIVENESS AND SURGICAL RESIDENT SATISFACTION Jana Cole M.D., Ellen Farrokhi M.D., Karen Horvath M.D., Doug Brock PhD., Carlos Pellegrini M.D., Gary Mann M.D. University of Washington Department of Surgery

  2. Introduction • Service demands of the 80 hour work week can lead to erosion of time for didactic teaching. • The challenge is to find new ways to improve education despite time constraints.

  3. Introduction Resident dissatisfaction led us to critically evaluate and change our surgical didactic teaching curriculum.

  4. UW General Surgery Residency • 5-7yr University Hospital Program • 7 categorical positions • 75 residents • 5 hospitals

  5. Methods ICurriculum Time Change PRE POST • 1 hour per week • Poor attendance • All resident levels together • 4 hours per week • Mandatory attendance • Juniors (R1,2,3) and Seniors (R4,R5) alternate weeks

  6. Time for Didactic Teaching R1,2,3 116 hrs/resident/yr R1,2,3,4,5 51 hrs/resident/yr R4,5 71 hrs/resident/yr

  7. Methods ICurriculum Teaching Change Junior (R1,2,3) Senior (R4,5) • Textbook Based • Fundamentals • Technical Skills • Problem Based • ACGME • Literature review • Evidence Based • Technical Skills • Problem Based • ACGME

  8. Example Schedule

  9. Purpose The purpose of this study was to determine the effectiveness and the resident satisfaction with a new didactic teaching curriculum.

  10. Benchmarks • Attendance (75%) • Satisfaction (75% residents will be satisfied/very satisfied) • ABSITE scores (>50 percentile)

  11. Methods II Time point 1: prior to new curriculum Time point 2: 6 mos into new curriculum Time point 3: 1 year after starting new curriculum

  12. Methods II: Survey • Satisfaction • Attendance/Faculty support • ABSITE preparation • Fund of knowledge/ Patient care Scale: 1 = strongly disagree 4 = strongly agree

  13. Results

  14. Attendance

  15. Satisfaction with Didactic Teaching Program Scale: 1 = very dissatisfied 4 = very satisfied

  16. Perceived ABSITE Preparation Scale: 1 = strongly disagree 4 = strongly agree

  17. ABSITE Scores

  18. Summary This study supports the effectiveness of our new surgical didactic curriculum. Attendance Resident Satisfaction Perceived ABSITE prep ABSITE scores

  19. Conclusions This study illustrates that we can improve surgical education despite the time constraints of the 80 hour work week.

  20. Thank You

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