APDIM Survey Committee

1. APDIM Survey Committee Spring 2010 Furman S McDonald, MD MPH Chair, APDIM Survey Committee

2. Michael Adams, MD Betty Aman Vineet Arora, MD Brent Beasley, MD Joanne Connaughton, MD Stephanie Call, MD Karen Chacko, MD Saima Chaudhry, MD Kevin Hinchey, MD Robert Hopkins, MD Maria Lucarelli, MD Furman McDonald, MD MPH Susan Sefcik, MD Debbie Stevens Lisa Willett, MD Ex Officio Eric Holmboe, MD APDIM Support Nicole Baptista Jessica O’Hara APDIM Survey Committee

3. Goals • Answer Questions Important to APDIM • Consolidate (i.e. decrease) Surveys • Longitudinal Database • Research Network

13. 2009 Survey • Core Section • Program Director Characteristics • Program Characteristics • Questions only if data not obtainable elsewhere • ACGME, ABIM, FREIDA, US Census • Variable Sections • Recruitment • Global Health • Night-Time Supervision • IOM Duty Hour Recommendations

14. Survey Responses

15. 13% (13%) 37% (36%) 23% (23%) ’09 Survey (All 380 Programs) 26% (26%)

16. Program Description(source: FREIDA) Community-based, university hospital affiliated

17. 2006-2008 Rolling Pass Rates(source: ABIM) Mean = 92.4% Median = 94.0% Percent

18. Accreditation Cycle Length(source: ACGME) Percent 2008 (n=383) Mean = 4.1 years Median = 4.5 years 2009 (n=380) Mean = 4.8 years Median = 5.0 years

19. Median = 5 years Percent Program Director Tenure(source: ACGME, as of 12/1/09) Mean = 7.0 years

20. Gender Year Women 1995 18.0% 2008 27.5% 2009 27.3%

21. Career Designation Year GIM 2008 54.9% 2009 58.4%

22. Academic Ranks

23. Total Annual Salary Percent

24. Inflation Adjusted Mean Salary http://www.bls.gov/data/inflation_calculator.htm

25. Recruitment

26. Applications → Interviews(Per G1 Approved Position) Range 21.7 - 266.7 1.1 - 37.8 3.5 - 18.5 2.6 - 13.1 *Half of all programs receive fewer than 11% of their applications from USMGs

27. Time Invested in Recruitment(% of time during season) Range 15% - 90% 15% - 80% 5% - 70% 0% - 50%

28. Recruitment Budgets(Per interview) Max $190 $40 $167 $38 Percent > $0 77.1% 72.0% 24.0% 10.0%

29. A Typical Visit Includes…

30. Who Has Input In Ranking?

31. Final Rank Decision

32. Global Health

33. International Rotations 97.5% for credit 40.6% have additional funding available

34. Designated Sites 69.2% of programs with designated sites also allow rotations at other sites

35. How Important Is It To… …an internal medicine residency curriculum to work in health care settings within another culture that is relatively resource poor? …your recruitment efforts to offer residents an international rotation? Allow International Rotations (n=160) Don’t Allow International Rotations (n=119)

36. Night-Time Supervision

37. What Does Supervision Policy Stipulate?

38. Explicitly Require Notification At Night For…

39. Who Provides Faculty Level Night-Time Supervision?

40. Barriers to Night-Time Contacts

41. IOM Duty Hour Recommendations

42. Effects of Further Reform Consequences if new recommendations take effect? Is Further Reform Necessary? 59.5% of Program Directors think that training will need to be lengthened

43. Difficulty of Implementation

44. PLEASE COMPLETE2010 Survey • Core Section • Program Director Characteristics • Program Characteristics • Questions only if data not obtainable elsewhere • Variable Sections • Adjustment to the new Program Requirements • MedPAC/Rand • Sub-internship (CDIM) • PD Burnout • New Duty Hour Requirements?

45. Thank You