Table 2.

Summary of PEC findings on inpatient and outpatient rotations at the VA (year 1)

Rotation	Positive features	Suggestions for change
Inpatient wards	• High-yield teaching and rounds • Interesting patient population • Good autonomy	• Standardize transition of patients from the emergency department to the floor • Optimize the high workload of admitting days • Optimize ways to update nurses on rounds
MICU	• One-on-one educational experience • Intimate collaboration with colleagues	• Optimize flow process for nighttime radiology • Address conflicts of understanding regarding VA policy
Medicine consults	• Good resident autonomy • Good variety of cases • Appropriate patient volume • Opportunity for residents to learn how to be a consultant	• Make curriculum widely available • Increase teaching experiences
Firm A and B clinics	• Excellent precepting by attendings • High quality of care with enjoyable patient population	• Clarify expectations • Involve residents more meaningfully in teamwork
Women’s clinic	• Outstanding attendings • Good exposure to women’s health • Balanced workload • Excellent half-day teaching session	• Improve formal curriculum
Center of Excellence	• Favorable team structure • Good mix of didactics and patient care	• Optimize patient workflow • Increase opportunities for procedures