2010 A3CR2 Annual Chief Resident Survey

Caitlin C. Lopez, MDMallinckrodt Institute of Radiology

Survey Format

• Confidential online survey (surveymonkey.com)

• Multiple choice questions (single and multiple answer), free text for additional comments

Survey Topics

• Recurring – Basic Program Information– Resident Benefits– Chief Resident Duties/Benefits

• New in 2010– Additional questions in several sections– Outside hospital studies– After-hours attending & resident coverage– Proposed 3+1 curriculum

Limitations

• Opinions and estimations

• Sampling bias (only chief residents included)

• Limit duplicate responses from programs with multiple chief residents

• 2010– 228 individual responses– 140 unique programs – 85% completed the entire survey

• 2009– 143 individual responses– 112 unique programs

• 2008– 100 total responses

• Data will be available by e-mail on request

THANK YOU FOR PARTICIPATING!

Participation

Chief Responsibilities

ScheduleMethod Person-hours

Chief Benefits

Salary bonus• 2010

– Range $0-5000– Median $1500

• 2005– Range Range $0-3600– Mean $1615

• 2000– Range $0-6000– Mean $1475

Meetings/Conferences

Others: regional radiology society; one ‘extra’ conference of chief’s choosing; AMA; ACR

Time Registration Travel Housing

AUR 68% 64% 63% 61%

RSNA 30% 15% 15% 14%

ARRS 6% 4% 2% 2%

A3CR2

American Alliance of Academic Chief Residents in Radiology

• Members– 30% programs pay dues– 8% chief residents pay dues– 2009-2010: $25 in addition to AUR membership

• Non-members– 26% programs would pay dues– 35% programs would not pay dues

State of the Chiefdom

Outgoing Chief Residents

• 136/228 (60%) respondents had completed >75% chief time

• 80% ‘very’ or ‘somewhat’ satisfied

• 92% would accept position again

Job Satisfaction

Chief Residents

Fellowship: 94% plan to complete fellowship•87% in 2009•82% in 1999

Chief Residents

Practice Setting:

Program Details

Program DetailsHospitals Covered Studies per Year

Program Details

Current Program Size• Per program

– average 26.6 residents – range 6-72 residents

• Per class– Mean 6.6 residents– Mode 6 residents

Future Program Size• 2010-2011 (2010 match)

– 17% increased in size– 79% did not change in size– 5% decreased in size

• 2011-2012 (2011 match)– 21% of programs plan to

increase size– 78% plan no change in size– <1% plan to decrease size

Resident Benefits

Resident Benefits

• AFIP stipend– $1000-2500

• Book fund– $200-1500 per year– If include travel

allowance, up to $5000 per year

• Other benefits– Meals– Parking– StatDx subscription– ACR Learning file

Vacation

• Allocation of vacation– 86% of programs

allocate vacation as individual days and/or 1-week blocks• 36% do combination

– 12% allocate in 2-week blocks

• Many programs consider ‘interview days’ as vacation days

Sick Time

• 82% of programs do not permit transfer of sick time from year to year

• 40% require that vacation and/or sick time be used for maternity/paternity leave

Work Day

After-Hours: Residents• 71% use some type of night float

– 16% 4-6 weeks– 18% 7-9 weeks– 23% 10-12 weeks– 20% 13-15 weeks– 19% > 15 weeks

• Number of residents in-house for night float– 61% one resident– 26% two residents– 6% three or more residents

• Number of residents in-house for separate call pool– 34% zero residents– 41% one resident– 16% two residents– 6% three or more residents

After-Hours: PGY-2 Residents• 2009-2010 is first year PGY-2

residents were not allowed to take unsupervised call per ACGME

• Others roles for PGY-2– ‘Buddy call’ during last 6

months of year to prepare for independent call

– PGY-2 work weekend service rotations with attendings/fellows

– Integrated PGY-1 program so that PGY-2 can read independently

After-Hours: Residents

Not sub-divided between resident independent reads and resident with extended hours attending coverage

After-Hours: Residents• Ultrasound Examinations– 38% have 24/7 sonographer in-house– 36% have extended hours sonographer in-house– 43% have sonographer home call– 21% have residents perform after-hours US

– Others: combination of above to achieve extended sonographer coverage• Ex: Sonographer available 24 hours Sunday-Thursday;

residents Friday & Saturday nights• Ex: Sonographer available in-house Monday-Friday; home

call Saturday & Sunday

After-Hours: Final Reports

58% of departments have final reports (attending read) for after-hours studies within 12 hours

After-Hours: Attendings• 57% of programs have sub-specialty coverage

• 54% attendings go home at end of day (5-6pm)– 5% review all after-hours studies from home– 50% review select after-hours studies from home

• 45% in-house extended hours (10pm or MN)– 35% in 2005

• 12% 24-hour in-house– 14% in 2005

• 11% NightHawk coverage

After-Hours: Attendings24-hour in-house attending:

resident education24-hour in-house attending :

patient care

8% of programs plan to implement 24-hour in-house attending coverage during the next year, which would bring the total to 20% of programs with 24-hour in-house coverage

Outside Hospital Studies:Reinterpretation

95% of departments spend 0-10% reviewing OSH studies during day

84% of departments spend 0-10% reviewing OSH studies after-hours

Outside Hospital Studies:Reinterpretation

• 18% require OSH report be provided prior to re-interpretation

• 32% have written policy regarding resident re-interpretation

• 79% archive OSH studies to PACS

• PACS archiving– 95% have support staff

archive during work day

– 62% have support staff archive after-hours

– 5% have radiologists archive during work day

– 10% have radiologists archive after-hours

– Other: requesting physician archives

Outside Hospital Studies: Reinterpretation

Other: cost to patient, time constraints

3 + 1 Curriculum

• 4% have existing 3+1 curriculum• 20% will implement 3+1 in July, 2010• 20% will implement 3+1 in July, 2011 or 2012

3 + 1 Curriculum: Selectives• Time allotted– 17% will offer 4-6 months– 13% will offer 7-9 months– 4% will offer 10-12 months– Remainder unknown

• Use of time– 36% permit division of time between multiple

subspecialties– 3% require time reserved for single subspecialty– Remainder unknown

Thank You

• Chief resident participants• Laurie May at RSNA• Dave Naeger • Jennifer Gould• Travis Henry, Matt Gipson, Jim Kelly, Vinnie

Mellnick, and Jessica Huang