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Lost in Transition: The Experience and Impact of Frequent Changes in the Inpatient Learning Environment

Academic MedicinePublished 25 March 2011
Elizabeth Bernabeo, Matthew C. Holtman, Shiphra Ginsburg, Julie R. Rosenbaum, Eric S. Holmboe
Citations146
SJR quartileQ1
SJR score1.45
SNIP2.03

TL;DR

As residents adapt to frequent transitioning, they implicitly learn to value flexibility and efficiency over relationship building and deep system knowledge, which challenges the value of the traditional “rotating” model in residency.

Abstract

These findings challenge the value of the traditional "rotating" model in residency. As residents adapt to frequent transitioning, they implicitly learn to value flexibility and efficiency over relationship building and deep system knowledge. These findings raise significant implications for professional development and patient care and highlight an important element of the hidden curriculum embedded within the current training model.

Keywords

Social SciencesMedicine