- Email: [email protected]
78. APPLICANTS? WE HAVE AN APP FOR THAT!
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ABSTRACTS
the degree of over- and under-staffing by hour of the day in the ED. OBJECTIVE: Utilize heat-mapping to develop an evenly-distributed staffing model in the ED at a tertiary care children’s hospital DESIGN/METHODS: Heat-mapping software within Excel (Microsoft Corp, Seattle, WA) was utilized to overlay ED patient arrival patterns from June 2017-May 2018 on top of the potential patients per hour based on national estimates for trainees. Time-frames for under- and over-staffing were identified. A new schedule matrix was implemented in October 2018 and the same heat-mapping process was used to determine appropriateness of the staffing matrix. Given the visual nature of the study, results are presented descriptively. RESULTS: Analysis of the heat-map revealed that the current schedule matrix significantly under-staffed in the morning between 7-11am and over-staffed the rest of the day. A heat map representing usual staffing from October to December 2017 is shown in figure 1 and highlights the mismatch. Changes were made to the staffing matrix informed by the findings which resulted in more appropriate staffing during morning hours and evening hours for the months of October to December 2018 (figure 2). CONCLUSION(S): Novel use of heat-mapping software has the potential to successfully match ED patient arrival patterns to an appropriate resident staffing matrix. Future directions include incorporation of variable productivity to account for fatigue as the shift progresses.
TAGEDPEN
TAGEDFIUR
ACADEMIC PEDIATRICS administrative effort, and streamline communication during interview season. METHODS: With the assistance of LegitApps Company we designed an app for Android and Apple devices that allows us to communicate in real time with applicants. The app delivers all required documentation prior to the applicant’s arrival. It provides interview day schedule details and logistics, maps to their specific pre-interview dinner, and helps with navigating our city (finding hotels, identifying places to eat, highlighting fun things to do, etc). An easy to complete interview day survey is automatically pushed to all applicants at the end of the day. After initial programming, only minimal maintenance was needed by our administrative staff throughout the season. RESULTS: The app was downloaded 522 times this season. Based on results from the end-of-the-day survey, almost all 353 applicants downloaded the app. They appreciated the streamlined communication and hub for information. They used it to find Uber rides, book hotels, explore the city, and to prepare for their interview day. By eliminating paper, we saved money and manpower, allowing our staff to dedicate their time to the applicant experience. Survey comments include: “I appreciated the UM Pediatrics App, as it made the resources easy to access and reference throughout the day” and “I liked the App and that you tried to save some trees and not print out all of the information.” CONCLUSION: The app successfully conveyed information efficiently to applicants and decreasing the administrative workload. We plan to expand the app to include our fellowship programs and are working with other programs at our institution to develop similar apps for their programs.
Trainee Autonomy 79. RESIDENT AUTONOMY: ARE ATTENDINGS AROUND TOO MUCH? Alicia Williams, MD, Rustin Meister, MD, Travis W. Crook, MD, Rebecca R. Swan, MD, Vanderbilt University, Nashville, TN
TAGEDEN
78. APPLICANTS? WE HAVE AN APP FOR THAT! LaGail Green, Andrea DelGiudice, BS, Elise Gross, MD, Marie Pfarr, MD, Kayla B. Phelps, MD, MPH, David A. Stewart, MD, Lauren Helms, MD, Thomas Saba, MD, John Schmidt, MD, Shane Quinonez, MD, Heather L. Burrows, MD, PhD, University of Michigan, Ann Arbor, MI BACKGROUND: Large amounts of information are provided to applicants during the residency interview process. It is important to share this information in an efficient, environmentally sound, and engaging manner. Preparing information packets requires significant administrative time and results in discarded paper or unused flash-drives. OBJECTIVE We sought to eliminate paper documents, minimize
BACKGROUND: According to guidelines from the ACGME, residents must demonstrate progressive autonomy over the course of training that affords them the ability to act in a supervisory role under faculty guidance in preparation for independent practice. As adult learning theory supports, autonomy within a supportive climate can have a significant impact in motivating learners to expand their knowledge base and practice methods. We created a needs assessment survey to help obtain information regarding the current opinions surrounding autonomy within our own residency program. OBJECTIVE: We sought to determine residents’ perception of autonomy during their pediatric residency training with a secondary objective of preliminary assessment for an attending-less rounding experience to address autonomy and supervisory elements within the residency curriculum. METHODS: In 2018, graduating PGY3 Pediatric residents and PGY4 combined Internal Medicine/Pediatric residents were electronically sent an anonymous novel survey. The questions focused on overall level of supervision as well as how valuable they would find rounding without an attending in terms of building their own autonomy. Numerical responses were collected for statistical interpretation. RESULTS: We obtained surveys from 33/36 graduating residents within their final month of residency training. Respondents reported a mean value of 72/100 (Scale: 0/100 = significantly
ABSTRACTS
the degree of over- and under-staffing by hour of the day in the ED. OBJECTIVE: Utilize heat-mapping to develop an evenly-distributed staffing model in the ED at a tertiary care children’s hospital DESIGN/METHODS: Heat-mapping software within Excel (Microsoft Corp, Seattle, WA) was utilized to overlay ED patient arrival patterns from June 2017-May 2018 on top of the potential patients per hour based on national estimates for trainees. Time-frames for under- and over-staffing were identified. A new schedule matrix was implemented in October 2018 and the same heat-mapping process was used to determine appropriateness of the staffing matrix. Given the visual nature of the study, results are presented descriptively. RESULTS: Analysis of the heat-map revealed that the current schedule matrix significantly under-staffed in the morning between 7-11am and over-staffed the rest of the day. A heat map representing usual staffing from October to December 2017 is shown in figure 1 and highlights the mismatch. Changes were made to the staffing matrix informed by the findings which resulted in more appropriate staffing during morning hours and evening hours for the months of October to December 2018 (figure 2). CONCLUSION(S): Novel use of heat-mapping software has the potential to successfully match ED patient arrival patterns to an appropriate resident staffing matrix. Future directions include incorporation of variable productivity to account for fatigue as the shift progresses.
TAGEDPEN
TAGEDFIUR
ACADEMIC PEDIATRICS administrative effort, and streamline communication during interview season. METHODS: With the assistance of LegitApps Company we designed an app for Android and Apple devices that allows us to communicate in real time with applicants. The app delivers all required documentation prior to the applicant’s arrival. It provides interview day schedule details and logistics, maps to their specific pre-interview dinner, and helps with navigating our city (finding hotels, identifying places to eat, highlighting fun things to do, etc). An easy to complete interview day survey is automatically pushed to all applicants at the end of the day. After initial programming, only minimal maintenance was needed by our administrative staff throughout the season. RESULTS: The app was downloaded 522 times this season. Based on results from the end-of-the-day survey, almost all 353 applicants downloaded the app. They appreciated the streamlined communication and hub for information. They used it to find Uber rides, book hotels, explore the city, and to prepare for their interview day. By eliminating paper, we saved money and manpower, allowing our staff to dedicate their time to the applicant experience. Survey comments include: “I appreciated the UM Pediatrics App, as it made the resources easy to access and reference throughout the day” and “I liked the App and that you tried to save some trees and not print out all of the information.” CONCLUSION: The app successfully conveyed information efficiently to applicants and decreasing the administrative workload. We plan to expand the app to include our fellowship programs and are working with other programs at our institution to develop similar apps for their programs.
Trainee Autonomy 79. RESIDENT AUTONOMY: ARE ATTENDINGS AROUND TOO MUCH? Alicia Williams, MD, Rustin Meister, MD, Travis W. Crook, MD, Rebecca R. Swan, MD, Vanderbilt University, Nashville, TN
TAGEDEN
78. APPLICANTS? WE HAVE AN APP FOR THAT! LaGail Green, Andrea DelGiudice, BS, Elise Gross, MD, Marie Pfarr, MD, Kayla B. Phelps, MD, MPH, David A. Stewart, MD, Lauren Helms, MD, Thomas Saba, MD, John Schmidt, MD, Shane Quinonez, MD, Heather L. Burrows, MD, PhD, University of Michigan, Ann Arbor, MI BACKGROUND: Large amounts of information are provided to applicants during the residency interview process. It is important to share this information in an efficient, environmentally sound, and engaging manner. Preparing information packets requires significant administrative time and results in discarded paper or unused flash-drives. OBJECTIVE We sought to eliminate paper documents, minimize
BACKGROUND: According to guidelines from the ACGME, residents must demonstrate progressive autonomy over the course of training that affords them the ability to act in a supervisory role under faculty guidance in preparation for independent practice. As adult learning theory supports, autonomy within a supportive climate can have a significant impact in motivating learners to expand their knowledge base and practice methods. We created a needs assessment survey to help obtain information regarding the current opinions surrounding autonomy within our own residency program. OBJECTIVE: We sought to determine residents’ perception of autonomy during their pediatric residency training with a secondary objective of preliminary assessment for an attending-less rounding experience to address autonomy and supervisory elements within the residency curriculum. METHODS: In 2018, graduating PGY3 Pediatric residents and PGY4 combined Internal Medicine/Pediatric residents were electronically sent an anonymous novel survey. The questions focused on overall level of supervision as well as how valuable they would find rounding without an attending in terms of building their own autonomy. Numerical responses were collected for statistical interpretation. RESULTS: We obtained surveys from 33/36 graduating residents within their final month of residency training. Respondents reported a mean value of 72/100 (Scale: 0/100 = significantly