Three years of x+y scheduling: Longitudinal assessment of resident and faculty perceptions

Authors

Ross E. Myers, Department of Pediatrics, Rainbow Babies and Children's Hospital and Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH, USA 44106. Electronic address: ross.myers@uhhospitals.org.
Lynn Thoreson, Department of Pediatrics, The University of Texas at Austin Dell Medical School and Dell Children's Medical Center, 4900 Mueller Blvd, Austin, TX, USA 78723. Electronic address: lmthoreson@ascension.org.
Heather B. Howell, Department of Pediatrics, New York University Grossman School of Medicine, 550 1st Avenue, New York, NY, USA 10016. Electronic address: Heather.Howell@nyulangone.org.
Patricia Poitevien, Department of Pediatrics, Hasbro Children's Hospital and the Warren Alpert Medical School of Brown University, 593 Eddy St, Providence, RI 02903. Electronic address: patricia_poitevien@brown.edu.
Mary Beth Wroblewski, Department of Pediatrics, The University of Toledo, 2142 N Cove Blvd, Toledo, OH 43606. Electronic address: Mary.Wroblewski@utoledo.edu.
Keith Ponitz, Department of Pediatrics, Rainbow Babies and Children's Hospital and Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH, USA 44106. Electronic address: Keith.Ponitz@UHhospitals.org.
Joanna Lewis, Advocate Aurora HealthFollow

Recommended Citation

Myers RE, Thoreson L, Howell HB, et al. Three Years of X + Y Scheduling: Longitudinal Assessment of Resident and Faculty Perceptions. Acad Pediatr. 2022;22(7):1097-1104. doi:10.1016/j.acap.2022.01.014

Affiliations

Advocate Children's Hospital - Park Ridge

Abstract

PURPOSE: Five pediatric residency programs implemented true X+Y scheduling in 2018 where residents have continuity clinic in "blocks" rather than half-day per week experiences. We report the impact X+Y scheduling has on pediatric resident and faculty perceptions of patient care and other educational experiences over a three-year timeframe. METHODS: Electronic surveys were sent to residents and faculty of the participating programs prior to implementing X+Y scheduling and annually thereafter (2018 - 2021). Survey questions measured resident and faculty perception of continuity clinic schedule satisfaction and the impact of continuity clinic schedules on inpatient and subspecialty rotations. Data were analyzed using z-tests for proportion differences. RESULTS: 186 residents were sent the survey pre-implementation and 254-289 post-implementation with response rates ranging from 47%-69%. 378- 395 faculty members were sent the survey with response rates ranging from 26%-51%. Statistically significant (p<0.05) sustained perceived improvements over three years with X+Y were seen in outpatient continuity, inpatient workflow, and time for teaching both inpatient and in continuity clinic. CONCLUSIONS: X+Y scheduling can lead to perceived improvements in various aspects of pediatric residency programs. Our study demonstrates these improvements have been sustained over three years in the participating programs. WHAT'S NEW: X+Y scheduling in pediatric residency programs is rather novel and there is a paucity of literature evaluating its use. We report three years of outcome data from the only ACGME-approved pilot of X+Y scheduling in pediatric residency.

Document Type

Article

PubMed ID

35227911