Table 2:
Faculty survey responses
| Question | No. (%) of respondents* n = 15 |
|---|---|
| Any experience with Toronto General Hospital general internal medicine–oncology Overnight Hospitalist program in clinical experience at Toronto General Hospital | 15 (100) |
| Satisfaction with overall quality of care delivered at Toronto General Hospital, mean Likert score† ± SD | 3.6 ± 1.7 |
| Since development of the Overnight Hospitalist program, the quality of care delivered at Toronto General Hospital general internal medicine has: | |
| Improved | 11 (73) |
| Stayed the same | 2 (13) |
| Decreased | 2 (13) |
| The Overnight Hospitalist program has decreased medical errors, mean Likert score‡ ± SD | 3.6 ± 1.2 |
| The Overnight Hospitalist program leads to faster overnight evaluation of patients who are already admitted on the wards, mean Likert score‡ ± SD | 4.6 ± 0.9 |
| The Overnight Hospitalist program leads to faster evaluation of new patients in the emergency department, mean Likert score‡ ± SD | 4.5 ± 0.9 |
| The educational experience on the internal medicine CTU has improved as a result of the Overnight Hospitalist program, mean Likert score‡ ± SD | 4.1 ± 1.3 |
| Effect of the Overnight Hospitalist program on your medical billings | |
| No change | 7 (47) |
| Decrease | 2 (13) |
| Not sure | 6 (40) |
| The Overnight Hospitalist program makes the hospital more attractive to residents, mean Likert score‡ ± SD | 4.0 ± 1.7 |
| The Overnight Hospitalist program has reduced trainee burnout, mean Likert score‡ ± SD | 4.1 ± 1.0 |
| The Overnight Hospitalist program has reduced faculty/attending physician burnout, mean Likert score‡ ± SD | 3.5 ± 1.0 |
| The Overnight Hospitalist program improves my satisfaction while attending at Toronto General Hospital, mean Likert score‡ ± SD | 4.1 ± 1.1 |
| Benefits of the Overnight Hospitalist program§ | |
| Trainees have no need to obtain handover from or cross-cover teams overnight | 12 (80) |
| Trainees do not need to hand over in the morning to more than 1 team | 11 (73) |
| Trainees do not need to admit to more than 1 team overnight | 9 (60) |
| Trainees have fewer patients to evaluate and admit from the emergency department overnight | 12 (80) |
| Trainees do not need to manage transfers from other hospitals to the ward overnight | 6 (40) |
| Trainees have fewer distractions from their admitting and call duties when working overnight | 11 (73) |
| There is a dedicated physician in house to cover general internal medicine–oncology patients (Team 10) | 13 (87) |
| There is a dedicated physician in house to admit general internal medicine–oncology patients (Team 10) | 14 (93) |
| The physician covering general internal medicine–oncology patients (Team 10) and admitting new patients to Team 10 is more experienced | 12 (80) |
| There is a greater likelihood that the trainee will be able to rest/sleep overnight | 4 (27) |
| There is a greater likelihood that I will be able to rest/sleep overnight | 6 (40) |
| There is a reduced need for trainees to communicate with the attending physician overnight | 6 (40) |
| The nurses have improved access to physicians overnight regarding urgent patient issues | 8 (53) |
| None of the above | 1 (7) |
Note: CTU = clinical teaching unit, SD = standard deviation.
*
Except where noted otherwise.
†
Rated on a 5-point scale where 1 = very unsatisfied and 5 = very satisfied.
‡
Rated on a 5-point scale where 1 = strongly disagree and 5 = strongly agree.
§
Respondents could select all that applied.