From the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA.
From the University of Pennsylvania (DAA, LMB, DD, ELA, JAS), in Philadelphia, PA, and the Johns Hopkins University (SVD), in Baltimore, MD, USA.
Healthc (Amst). 2022 Mar;10(1):100614. doi: 10.1016/j.hjdsi.2022.100614. Epub 2022 Feb 1.
Two large national studies of resident duty hours incidentally revealed surgical and medical resident dissatisfaction with residency training. Aiming for an inclusive and democratic approach to improve graduate medical education, we conducted a national innovation tournament--reaching out to the program directors of all 474 US internal medicine residency programs to invite them and their residents and associate program directors to participate. Participants could submit multiple ideas as individuals or teams in four domains: [1] resident well-being and personal and professional development; [2] resident education and clinical preparedness; [3] resident sleep and alertness; and [4] patient safety. Residents and program directors were reinvited to rate ideas, whether they had submitted ideas themselves or not. We used a schedule of lottery-based prizes to stimulate the submission and rating of ideas and encourage engagement. 164 residents and program directors from 51 different programs submitted 328 ideas. 153 residents and program directors from 48 different programs submitted 15,345 ratings of ideas. Winning ideas aimed to reduce residents' work burden or improve their mental health, sleep, eating, or relaxation or reflected technical fixes to the operations of residency, such as changing vacation schedules and the timing of pay. The results of this tournament provided actionable suggestions to improve residency training now being tested in our own residency programs. Innovation tournaments drive engagement and generate value by their opportunities for inclusion and by shifting problem solving to the end user.
两项大型的住院医师工作时间国家研究意外地揭示了外科和内科住院医师对住院医师培训的不满。为了以包容和民主的方式改进研究生医学教育，我们举办了一项全国性的创新竞赛——向所有 474 个美国内科住院医师培训项目的项目主管发出邀请，邀请他们及其住院医师和副项目主管参加。参与者可以以个人或团队的形式在四个领域提交多个想法：[1]住院医师的幸福感以及个人和职业发展；[2]住院医师教育和临床准备；[3]住院医师的睡眠和警觉性；[4]患者安全。居民和项目主管被重新邀请对想法进行评分，无论他们自己是否提交了想法。我们使用基于彩票的奖励时间表来激发想法的提交和评分，并鼓励参与。来自 51 个不同项目的 164 名住院医师和项目主管提交了 328 个想法。来自 48 个不同项目的 153 名住院医师和项目主管提交了 15345 个想法评分。获奖想法旨在减轻住院医师的工作负担或改善他们的心理健康、睡眠、饮食或放松，或反映对住院医师运作的技术修复，例如改变休假时间和发薪时间。这场竞赛的结果为改善住院医师培训提供了切实可行的建议，目前正在我们自己的住院医师培训项目中进行测试。创新竞赛通过其包容性机会和将解决问题的责任转移给最终用户，从而推动参与并产生价值。
