Characteristics of highly rated internal medicine attendings before and after the 2004 work-hour restrictions

Renee Mallory, Jeffrey L. Jackson, Donald Mondragon, Christos Hatzigeorgiou, Kent J. Dezee, David Greenburg, Patrick G. O’Malley

Research output: Contribution to journalArticle

Abstract

Objectives: To describe the characteristics of top-rated Internal Medicine attendings and whether they changed after implementation of the 2004 work-hour restrictions. Methods: Mixed methods study of resident ratings of medicine attendings (Period 1: 1994–1996, n = 250 and Period 2: 2007–2009, n = 152). Residents evaluated 17 attending characteristics. The top 25% of “overall” ratings were classified as “highly rated.” Two free-text questions included “What was your attending’s best characteristic?” and “How could your attending best improve?” and were coded in duplicate, using grounded qualitative methods. Results: There were no differences in the characteristics of highly rated attendings in the two time periods. Characteristics associated with being a top-rated attending included enthusiasm (odds ratio [OR]: 5.69, 2.78–11.67), balanced teaching style (OR: 3.63, 1.64–8.02), promoting independent thinking (OR: 2.90, 0.96–8.74), fund of knowledge (OR: 2.73, 1.13–6.58), and time management (OR: 1.78, 1.14–2.80). Among the 1,410 utterances, valued attending attributes included helpfulness, promoting independent thinking, and having strong medical knowledge. Conclusions: The characteristics valued by residents in attendings did not change over time despite a major structural change in work hours and patterns of teaching. These valued characteristics continue to be a strong general fund of knowledge, enthusiasm for teaching, and balance between didactic and bedside approaches.

Original languageEnglish (US)
Pages (from-to)76-81
Number of pages6
JournalMilitary Medicine
Volume181
Issue number1
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

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Internal Medicine
Odds Ratio
Teaching
Financial Management
Time Management
Medicine
Thinking

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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Characteristics of highly rated internal medicine attendings before and after the 2004 work-hour restrictions. / Mallory, Renee; Jackson, Jeffrey L.; Mondragon, Donald; Hatzigeorgiou, Christos; Dezee, Kent J.; Greenburg, David; O’Malley, Patrick G.

In: Military Medicine, Vol. 181, No. 1, 01.01.2016, p. 76-81.

Research output: Contribution to journalArticle

Mallory, Renee ; Jackson, Jeffrey L. ; Mondragon, Donald ; Hatzigeorgiou, Christos ; Dezee, Kent J. ; Greenburg, David ; O’Malley, Patrick G. / Characteristics of highly rated internal medicine attendings before and after the 2004 work-hour restrictions. In: Military Medicine. 2016 ; Vol. 181, No. 1. pp. 76-81.
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