SHM Converge Scientific Abstract ePoster Gallery-Impact of One- Vs Two-Week Faculty Rotations on Patient Outcomes, Faculty and Resident Satisfaction, and Faculty Burnout.

Pdf Summary

This study examined whether one-week or two-week attending rotations on inpatient medicine teaching services affected patient outcomes, resident and faculty satisfaction, and faculty burnout/professional fulfillment. The motivation was that balancing high-quality care with an effective learning environment is challenging, and the traditional two-week block may not fit well with academic hospitalists’ schedules or help reduce burnout.<br /><br />The study compared faculty scheduled in one-week versus two-week service blocks. Patient outcomes included length of stay, 14-day readmission, 14-day ED return, and death during hospitalization or within 30 days of discharge. Residents and faculty completed surveys assessing the learning environment, including clinical skills, teaching interest, accessibility/availability, morale, autonomy, supervision, patient safety, time for learning, and overall satisfaction. Faculty also reported burnout and professional fulfillment.<br /><br />Results showed no meaningful difference in patient outcomes between the one-week and two-week groups. There were also no differences in faculty burnout or professional fulfillment. Resident satisfaction with the learning environment was similar regardless of faculty rotation length. Among faculty, almost all satisfaction measures were unchanged, except that the one-week group reported higher satisfaction with accessibility/availability.<br /><br />Preferences for rotation length varied. Residents generally tended to prefer two-week rotations, but this did not translate into higher satisfaction with the learning environment. Overall, the findings suggest that shorter one-week faculty rotations are a viable scheduling option that does not compromise patient care, resident education, or faculty well-being.

Asset Subtitle

Kathryn Levy

Meta Tag

Author List Carla Vrondran, David Paje, Kathryn Levy, Lauren Heidemann, Sachita Shrestha, Sarah Hartley, Shuo Tian, Stephanie Taylor, Trevor Denton, Virginia Sheffield

Category Research

Concept Faculty Teaching Service Block

Concept Patient Outcomes

Concept Rotation Length

Concept Length of Stay

Concept Readmission

Distinguished Non-Finalist

Presenter Organization University of Michigan

Presenting Author Kathryn Levy

Track Education

Keywords

inpatient medicine

attending rotations

patient outcomes

resident satisfaction

faculty satisfaction

burnout

professional fulfillment

learning environment

one-week rotation

two-week rotation

Faculty Teaching Service Block

Patient Outcomes

Rotation Length

Length of Stay

Readmission