Table 3.
Changes in Clinical Experience
| Change in clinical experience | Total, % (n/N) |
Stage 1,∗ % (n/N) |
Stage 2,† % (n/N) |
Stage 3,‡ % (n/N) |
Stage 1 vs stage 3 |
Stage 2 vs stage 3 |
||
|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | p Value | OR (95% CI) | p Value | |||||
| Trainee increase in emergency department experience | 6 (27/462) | 1 (1/102) | 3 (7/219) | 14 (19/141) | 0.072 (0.009–0.595) | 0.0145 | 0.218 (0.078–0.609) | 0.0036 |
| Trainee increase in ICU experience | 19 (88/462) | 7 (7/102) | 13 (29/219) | 37 (52/141) | 0.272 (0.111–0.672) | 0.0047 | 0.466 (0.260–0.834) | 0.012 |
| Trainee reassigned to nonsurgical work | 24 (93/392) | 11 (9/82) | 14 (25/185) | 47 (59/125) | 0.138 (0.063–0.300) | < 0.0001 | 0.175 (0.101–0.303) | < 0.0001 |
| Faculty assigned to nonsurgical work | 15 (58/393) | 6 (5/82) | 6 (11/185) | 33 (42/126) | 0.130 (0.049–0.345) | < 0.0001 | 0.126 (0.062–0.258) | < 0.0001 |
| Reduced outpatient experience | 83 (384/462) | 74 (75/102) | 84 (184/219) | 89 (125/141) | 0.394 (0.183–0.847) | 0.0171 | 0.736 (0.365–1.483) | 0.398 |
| Reduced hospital inpatient experience | 70 (324/462) | 58 (59/102) | 75 (165/219) | 71 (100/141) | 0.538 (0.294–0.985) | 0.0446 | 1.126 (0.664–1.910) | 0.6587 |
| Reduction in outside rotation | 57 (207/365) | 40 (29/72) | 56 (98/174) | 67 (80/119) | 0.329 (0.179–0.603) | 0.0003 | 0.629 (0.387–1022) | 0.0613 |
OR, odds ratio.
∗
Stage 1, business as usual.
†
Stage 2, increasing but manageable.
‡
Stage 3, crossing the threshold.