Table 5.
Comparison of program director views across all residents
| Program director views | Mean percent of time allocated to domain | p value* | |||
|---|---|---|---|---|---|
| Interns (SD) (n = 11) | Juniors (SD) (n = 22) | Seniors (SD) (n = 22) | |||
| Current resident responsibilities | |||||
| 1 | Operating or performing procedures | 11.8 (6.4) | 26.1 (5.7) | 38.6 (8.1) | < 0.001† |
| 2 | Evaluating patients in a clinical setting | 20.9 (8.9) | 21.0 (7.9) | 21.4 (10.3) | 0.992 |
| 3 | Caring for inpatients in the hospital | 26.8 (12.7) | 13.9 (6.8) | 10.0 (6.7) | < 0.001† |
| 4 | Evaluating patients in an acute care/emergency department setting | 11.4 (5.5) | 12.3 (7.5) | 4.3 (3.6) | 0.005 |
| 5 | Independent studying or preparing for surgery/clinic/lectures | 7.8 (6.0) | 7.7 (5.6) | 9.0 (5.0) | 0.836 |
| 6 | Attending formal lectures/courses | 4.7 (2.4) | 5.2 (2.9) | 4.7 (2.4) | 0.895 |
| 7 | Answering patient phone calls/messages/questions/etc outside of clinical setting | 2.7 (2.4) | 3.3 (3.3) | 1.9 (3.1) | 0.562 |
| 8 | Completing paperwork (prescriptions, disability, insurance forms, duty hours, etc) | 6.4 (5.5) | 2.8 (3.2) | 3.1 (2.1) | 0.069 |
| 9 | Conducting clinical or basic science research | 1.7 (2.3) | 5.8 (6.0) | 5.2 (3.3) | 0.063 |
| 10 | Deliberate practice of surgical skills outside of the operating room setting | 5.7 (3.7) | 1.8 (2.7) | 1.6 (2.5) | 0.004 |
| 11 | Other | 0.0 (0.0) | 0.3 (0.9) | 0.3 (0.9) | 0.614 |
| Current resident roles in the operating room | |||||
| 1 | Primary surgeon (making surgical decisions and performing the operation) | 5.6 (14.9) | 22.3 (20.2) | 60.0 (18.8) | < 0.001† |
| 2 | First assistant | 30.0 (14.0) | 60.9 (19.2) | 36.8 (17.1) | < 0.001† |
| 3 | Second assistant | 57.3 (23.2) | 15.5 (10.6) | 2.7 (6.1) | < 0.001† |
| 4 | Observation only (not scrubbed in) | 7.2 (15.0) | 1.4 (3.2) | 0.5 (1.5) | 0.175 |
| Ideal resident responsibilities | |||||
| 1 | Operating or performing procedures | 16.8 (10.8) | 30.9 (9.2) | 42.1 (11.3) | < 0.001† |
| 2 | Evaluating patients in a clinical setting | 27.0 (14.7) | 21.8 (10.6) | 22.1 (11.8) | 0.552 |
| 3 | Caring for inpatients in the hospital | 18.6 (9.0) | 11.4 (6.7) | 9.4 (6.3) | 0.016 |
| 4 | Evaluating patients in an acute care/emergency department setting | 11.8 (5.1) | 10.5 (5.7) | 6.1 (3.0) | 0.022 |
| 5 | Independent studying or preparing for surgery/clinic/lectures | 6.7 (7.2) | 7.0 (5.4) | 6.9 (6.4) | 0.995 |
| 6 | Attending formal lectures/courses | 3.5 (2.2) | 4.0 (2.9) | 3.6 (2.1) | 0.851 |
| 7 | Answering patient phone calls/messages/questions/etc outside of clinical setting | 0.9 (1.6) | 1.4 (2.0) | 1.6 (2.3) | 0.687 |
| 8 | Completing paperwork (prescriptions, disability, insurance forms, duty hours, etc) | 0.8 (1.5) | 1.4 (1.9) | 2.0 (2.1) | 0.383 |
| 9 | Conducting clinical or basic science research | 5.6 (6.8) | 7.3 (6.3) | 4.2 (4.0) | 0.469 |
| 10 | Deliberate practice of surgical skills outside of the operating room setting | 7.8 (7.1) | 4.2 (3.1) | 1.9 (2.5) | 0.021 |
| 11 | Other | 0.5 (1.5) | 0.2 (0.6) | 0.3 (0.9) | 0.836 |
| Ideal resident roles in the operating room | |||||
| 1 | Primary surgeon (making surgical decisions and performing the operation) | 8.2 (15.9) | 31.4 (19.3) | 72.7 (16.2) | < 0.001† |
| 2 | First assistant | 42.3 (23.8) | 54.1 (13.4) | 24.9 (14.8) | 0.003 |
| 3 | Second assistant | 43.6 (27.6) | 10.9 (12.8) | 1.4 (3.2) | < 0.001† |
| 4 | Observation only (not scrubbed in) | 5.9 (9.7) | 0.9 (3.0) | 1.0 (3.0) | 0.107 |
* Comparisons made across all groups using analysis of variance; †only p values < 0.001 are considered to represent statistical significance.