Table 8.
Program director (PD) perception of resident current time allocation versus their ideals
| PD perception | Mean percent of time allocated to domain | 95% confidence interval | p value* | |||
|---|---|---|---|---|---|---|
| PD perception of current time allocation (SD) (n = 55) | PD perception of ideal time allocation (SD) (n = 55) | Mean difference | ||||
| Domains of resident responsibilities | ||||||
| 1 | Operating or performing procedures | 28.3 (12.9) | 32.6 (14.6) | −4.3 | −9.51 to 0.91 | 0.105 |
| 2 | Evaluating patients in a clinical setting | 21.1 (8.8) | 23.0 (12.3) | −1.8 | −5.89 to 2.20 | 0.369 |
| 3 | Caring for inpatients in the hospital | 14.9 (11.5) | 12.0 (8.3) | 2.9 | −0.87 to 6.69 | 0.130 |
| 4 | Evaluating patients in an acute care/emergency department setting | 8.9 (6.7) | 9.0 (5.2) | −0.1 | −2.36 to 2.18 | 0.937 |
| 5 | Independent studying or preparing for surgery/clinic/lectures | 8.3 (5.4) | 6.9 (6.2) | 1.3 | −0.85 to 3.53 | 0.227 |
| 6 | Attending formal lectures/courses | 4.9 (2.5) | 3.7 (2.4) | 1.2 | 0.28–2.12 | 0.011 |
| 7 | Answering patient phone calls/messages/questions/etc outside of clinical setting | 2.6 (2.9) | 1.4 (1.9) | 1.2 | 0.30–2.18 | 0.010 |
| 8 | Completing paperwork (prescriptions, disability, insurance forms, duty hours, etc | 3.6 (4.1) | 1.5 (1.9) | 2.1 | 0.88–3.30 | < 0.001† |
| 9 | Conducting clinical or basic science research | 4.8 (4.4) | 5.7 (5.8) | −1.0 | −2.93 to 0.97 | 0.321 |
| 10 | Deliberate practice of surgical skills outside of the operating room setting | 2.5 (3.5) | 4.0 (5.2) | −1.5 | −3.20 to 0.14 | 0.072 |
| 11 | Other | 0.2 (0.7) | 0.3 (1.1) | −0.1 | −0.39 to 0.29 | 0.772 |
| Resident roles in the operating room | ||||||
| 1 | Primary surgeon (making surgical decisions and performing the operation | 34.0 (29.0) | 43.3 (31.8) | −9.3 | −20.76 to 2.26 | 0.114 |
| 2 | First assistant | 45.1 (21.2) | 40.1 (21.2) | 5.0 | −2.97 to 13.05 | 0.215 |
| 3 | Second assistant | 18.7 (27.8) | 13.6 (25.1) | 5.1 | −4.92 to 15.10 | 0.316 |
| 4 | Observation only (not scrubbed in) | 2.2 (9.1) | 2.0 (6.4) | 0.2 | −2.77 to 3.19 | 0.889 |
* Comparisons made between means of current and ideal time allocation using t-test; †only p values < 0.001 are considered to represent statistical significance.