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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 3/2014

01-03-2014 | Capsule Commentary

Capsule Commentary on Bump et al., Hold-Over Admissions: Are They Educational for Residents?

Author: Timothy W. Bodnar, MD

Published in: Journal of General Internal Medicine | Issue 3/2014

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Excerpt

This study by Bump et al.1 surveyed internal medicine residents in a large academic residency about factors related to the work and educational value of “hold-over” admissions (“a resident receiving a patient already admitted by another resident”), estimated to comprise 43 % of admissions. Residents report spending 30 % less time on hold-overs compared to new admissions (56 min vs. 80 min). They also report poorer understanding of the history and pre-admission course, and 26 % feel “decreased ownership” of hold-over admissions. Despite the above, they perceive a neutral effect of the “hold-over” on the educational value of an admission. …
Literature
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Caverzagie KJ, Iobst WF, Aagaard EM, Hood S, Chick DA, Kane GC, Brigham TP, Swing SR, Meade LB, Bazari H, Bush RW, Kirk LM, Green ML, Hinchey KT, Smith CD. The internal medicine reporting milestones and the next accreditation system. Ann Intern Med. 2013;158:557–9.PubMedCrossRef
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Block L, Habicht R, Wu AW, Desai SV, Wang K, Novello Silva K, Niessen T, Oliver N, Feldman L. In the wake of the 2003 and 2011 duty-hours regulations, how do internal medicine interns spend their time? J Gen Intern Med. 2013;28:1042–7.PubMedCrossRef
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Desai SV, Feldman L, Brown L, Dezube R, Yeh H, Punjabi N, Afshar K, Grunwald M, Harrington C, Naik R, Confrancesco J. Effect of the 2011 vs. 2003 duty-hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. JAMA Intern Med. 2013;173:649–55.PubMedCrossRef
Metadata
Title
Capsule Commentary on Bump et al., Hold-Over Admissions: Are They Educational for Residents?
Author
Timothy W. Bodnar, MD
Publication date
01-03-2014
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 3/2014
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-013-2681-0

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