Table 1.
Summary of PEC findings on inpatient and outpatient rotations at YNHH (year 1)
Rotation | Positive features | Suggestions for change |
---|---|---|
Donaldson Service (Infectious Disease) | Outstanding attendings | • Need 2 attendings on service at all times |
Peters Service (Nephrology) | Outstanding educational experience |
• Improve weekend schedule • Hire physician extender |
Fitkin Service (General Medicine) | Outstanding experience overall | • Designate teaching cases for admission to Fitkin while patients are still in the emergency department |
Generalist (General Medicine) | Unique patient population and curriculum | • Optimize daily call schedule and workflow |
Cardiac ICU | Outstanding educational experience | • Optimize daily workflow and patient flow |
Goodyer Service (Cardiology) | Lighter workload than other busier services allowing for deeper intellectual immersion | • Redesign team structure to better balance out work responsibilities on other busier services |
Hematology | Outstanding educational experience | • Need 2 residents on service |
Oncology | Outstanding educational experience |
• Need 2 residents on service • Clarify resident role in goals-of-care discussions |
Primary Care Clinic | Outstanding ambulatory medicine experience | • Logistical and workflow problems |