Internal medicine resident education in the medical intensive care unit: The impact on education and patient care of a scheduling change for didactic sessions*
Critical Care MedicinePublished 1 July 2005
Kaiser G. Lim, William F. Dunn, Kyle W. Klarich, Bekele Afessa
Citations19
SJR quartileQ1
SJR score2.12
SNIP2.15
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Early morning didactic sessions improve the educational experience of internal medicine residents rotating in the MICU without compromising patient care.
Abstract
Early morning didactic sessions improve the educational experience of internal medicine residents rotating in the MICU without compromising patient care.
Keywords
MedicineHealth Professions
CHEST JournalThe APACHE III Prognostic System
3,482 Citations1991William A. Knaus, Douglas P. Wagner +9 more
The overall predictive accuracy of the first-day APACHE III equation was such that, within 24 h ofICU admission, 95 percent of ICU admissions could be given a risk estimate for hospital death that was within 3 percent of that actually observed.
SLEEPThe Cumulative Cost of Additional Wakefulness: Dose-Response Effects on Neurobehavioral Functions and Sleep Physiology From Chronic Sleep Restriction and Total Sleep Deprivation
3,088 Citations2003Hans P. A. Van Dongen, Greg Maislin +2 more
It appears that even relatively moderate sleep restriction can seriously impair waking neurobehavioral functions in healthy adults, and sleep debt is perhaps best understood as resulting in additional wakefulness that has a neurobiological "cost" which accumulates over time.
New England Journal of MedicineEffect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units
1,759 Citations2004Christopher P. Landrigan, Jeffrey M. Rothschild +9 more
New England Journal of MedicineEffect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures
920 Citations2004Steven W. Lockley, John Cronin +10 more
Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours.
Annals of Internal MedicineVariations in Mortality and Length of Stay in Intensive Care Units
552 Citations1993William A. Knaus, Douglas P. Wagner +2 more
The ability to evaluate ICU performance using risk-adjusted in-hospital mortality rates and length of ICU stay and the nature and relative importance of these factors and the extent of the remaining variation in outcome performance after such adjustment are explored.
SLEEPSleep, Fatigue, and Medical Training: Setting an Agenda for Optimal Learning and Patient Care
99 Citations2003Daniel J. Buysse, Barbara Barzansky +9 more
By working together to address the problems of sleep and fatigue in its own trainees, the medical field can provide a valuable legacy to patients and to future generations of healthcare providers--a legacy or optimal medical education, healthy doctors, and healthy patients.
Academic MedicineOccupational stress, personal strain, and coping among residents and faculty members
56 Citations1985Dale E. Alexander, John S. Monk +1 more
The findings suggest that residency education interferes with first-year residents' abilities to cope and places their physical well-being at risk and support the need for residents to employ coping strategies during the residency years.
Medical CareA Measure of Physician Mental Work Load in Internal Medicine Ambulatory Care Clinics
52 Citations1990Dennis A. Bertram, Clair Hershey +2 more
A brief instrument was developed to measure the mental work load experienced during a clinic session in internal medicine ambulatory care hospital clinics and was found to be positively associated with number of patients seen and with fatigue and inversely associated with physician satisfaction with the patient care they provided.
Journal of General Internal MedicineInternal Medicine Residents' Clinical and Didactic Experiences After Work Hour Regulation.
16 Citations2006Leora I. Horwitz, Harlan M. Krumholz +2 more
In response to work hour regulation, many internal medicine programs redistributed rather than reduced residents' inpatient clinical experience and didactic education.
SurgeryThe effects of programmatic change on resident motivation
14 Citations1998Jeanine Chalabian, R A Bremner
The impact that a programmatic change can have on resident motivation is focused on and IL-372 is used as an example to show the importance of motivation in surgical education.
Critical Care MedicineEvaluation of a pediatric intensive care residency curriculum
14 Citations1997Edward Cullen, Stephen Lawless +4 more
To teach residents to recognize and treat critically ill or injured infants, children, and adolescents in a 1-month, intensivist-designed, second-year resident pediatric intensive care rotation curriculum while maintaining optimal patient care and resident educational satisfaction.
Reproductive Medicine and BiologyEffects of orchids (<i>Orchis anatolica</i>) on reproductive function and fertility in adult male mice
13 Citations2006Nabil A. Khouri, Mansour Nawasreh +2 more
An important finding was that the ingestion of the orchid diet by male mice increased their fertility, indicated by an elevation in the number of impregnated females when allowed to mate with treated mice, and an increase in the impregnation sites.
The American SurgeonResident Work Hours: Can We Meet the ACGME Requirements?
9 Citations2004William T. Cockerham, Joseph B. Cofer +3 more
Evaluating data reflecting changes in resident schedules made in 2002–2003 to be compliant with ACGME requirements without compromising patient care or resident education substantially reduced the number of resident work-hours.
