Coassolo, Kara, MD

Hutchinson, Thomas, MD

Koller, Craig, M.Ed

Patruno, Joseph E, MD

Rochon, Meredith L, MD

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of Obstetrics & GynecologyA Pilot Study Assessing the Value of an“Educational Hospitalist” in an OBGYN ResidencyProgramJoseph E. Patruno MDLehigh Valley Health Network, Joseph_E.Patruno@lvhn.orgCraig Koller M.EdLehigh Valley Health Network, Craig.Koller@lvhn.orgKara Coassolo MDLehigh Valley Health Network, Kara_M.Coassolo@lvhn.orgMeredith L. Rochon MDLehigh Valley Health Network, Meredith_L.Rochon@lvhn.orgThomas Hutchinson MDLehigh Valley Health Network, Thomas.Hutchinson@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/obstetrics-gynecologyPart of the Education Commons, Maternal, Child Health and Neonatal Nursing Commons, andthe Obstetrics and Gynecology CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtPatruno, J., Koller, C., Coassolo, K., Rochon, M., & Hutchinson, T. (2011, March 9-12). A pilot study assessing the value of an “Divisionof Educational Hospitalist” in an obgyn residency program. Poster presented at: The APGO/CREOG Annual Meeting, San Antonio, TX.Lehigh Valley Health Network, Allentown, PennsylvaniaObstetrical Hospitalists have been endorsed by ACOG and are employed in a number of obstetrical departments with the goal of accommodating clinical volume and optimizing patient care….. We describe the implementation of an “Educational Hospitalist (EH),” on a labor and delivery (L&D) unit, with the goal of improving the educational environment.A Pilot Study Assessing the Value of an “Educational Hospitalist” in an OBGYN Residency ProgramJoseph E. Patruno, MD, Craig Koller, M.Ed, Kara Coassolo, MD, Meredith Rochon, MD, Thomas Hutchinson, MDObjective:Table 1. Perception of the Value of the EHSurvey Question1 (strongly disagree to 9 (strongly agree)Residents(n=20)MedStud(n=11)Nurse(n=8)Attending(n=8)EH benefits quality of patient care? 8.1 7.7 8.3 7.9EH improves teaching environment? 7.7 6.7 6.7 7.9EH serves as valuable teacher? 8.2 7.8 8.4 8.0EH allows others more teaching time? 7.7 7.5 8.3 7.9EH serves as valuable mentor? 8.2 6.7 8.4 7.6EH decreases service obligations? 7.8 7.6 8.7 7.8EH promotes more time for research/study? 7.8 6.1 7.7 7.5EH is important member of OB team? 8.3 7.2 8.6 8.4MEAN... 8.0 7.2 8.0 7.9EH adversely affecting training residents 2.3 3.0 2.0 2.0•  The concept of an Educational Hospitalist (EH) was developed and resulted in the employment of a board eligible OBGYN physician as both a primary instructor/educator.•  The EH’s educational and clinical responsibilities included overseeing the postpartum unit, protecting residents during educational rounds, and overseeing medical/PA students, and both OB/GYN and off-service residents.•  The addition of the EH also indirectly allowed other staff (ie. MFM) protected time to educate.•  Data was compared for the year prior to the implementation of the EH (academic year 2009) with the time period following the incorporation of the EH (academic year 2010). •  Data evaluated included the effect of the EH on resident ACGME clinical experience, obstetric rotation satisfaction, and resident/student/ staff perception of the value of the EH. •  Standard Likert scale, ranging from 1 (strongly disagree) to 9 (strongly agree) was used as a measurement tool for rotation survey and survey evaluating the value of the EH. Methods:•  introducing an EH on the L&D unit in an academic OBGYN department is feasible and has been well accepted at our institution. •  The presence of the EH, based on resident, student, nursing, and faculty physicians opinion, improved the educational environment, as well as, lead to superior patient care•  Residents’ clinical experiential numbers were not adversely affected by the presence of the EH. •  We recommend other residency programs consider implementing an EH to optimize their labor and delivery environments, or perhaps in other areas of the residency training environment. Conclusions:Table 2. Obstetric Rotation ResidentSatusfaction Survey: 12/2009 vs. 12/1020Survey Question1 (strongly disagree to 9 (strongly agree)12/2009(n=11)12/2010(n=8) �Faculty spend sufficient time TEACHING residents on this rotation? 7.7 8.3 ↑8%The balance during this rotation between SERVICE and EDUCATION is optimal? 5.5 7.8 ↑29%I am able to remain compliant with ideal duty hours while on this rotation? 7.3 7.7 ↑5%Table 3. Resident ACGME Experience*Resident NSVD(09)NSVD(10) �C/S(09)C/S(10) % �PGY 1 OB 100.0 107.0 ↑9% 5.2 5.0 ↓4%PGY 2 OB 28.6 31.2 ↑8% 57.2 73.2 ↑22%PGY 3 OB 12.0 10.2 ↓15% 12.0 18.6 ↑22%PGY 4 OB 28.0 32.8 ↑15% 36.5 30.4 ↓17%TOTAL 166.8 183.0 ↑9% 98.9 108.6 ↑9%* Based on ACGME data (09) = 7/1/2009 to 12/31/2009 and (10) = 7/1/2010 to 12/31/2010... Values = number procedures/resident/PGY levelEducational Hospitalist Survey?  RESIDENT     PGY1  PGY2   PGY3  PGY4   ?  NURSE     L&D  Triage  MBU  PNU  Other?  FACULTY     MFM  Generalists         Other ?  OTHER      CNMW Medical Student Off service resident        Strongly Disagree        Neutral         Strongly Agree1. I feel the “Educational Hospitalist” improves/         1    2    3    4 5    6    7    8    9benefits the quality of patient care on labor and delivery/MBU.2. I feel the “Educational Hospitalist” improves/         1    2    3    4 5    6    7    8    9benefits the educational and “teaching” environment on labor and delivery/MBU.3. I feel the “Educational Hospitalist” serves as          1    2    3    4 5    6    7    8    9a valuable teacher on labor and delivery/MBU4. I feel the presence of  the “Educational Hospitalist”  1    2    3    4 5    6    7    8    9indirectly allows other faculty (ie. MFM) more time to teach on labor and delivery/MBU.5. I feel the “Educational Hospitalist” serves as          1    2    3    4 5    6    7    8    9a valuable mentor to residents and students on labor and delivery/MBU.6. I feel the “Educational Hospitalist” decreases          1    2    3    4 5    6    7    8    9the “service” requirements residents are responsiblefor while working on labor and delivery/MBU7. I feel the “Educational Hospitalist” is adversely            1    2    3    4 5    6    7    8    9affecting the training/experience of residents on labor and delivery/MBU8. I feel the “Educational Hospitalist” allows           1    2    3    4 5    6    7    8    9residents more time to care for, and research,more complex/interesting patients being cared foron L&D/MBU/PNU.9. I feel the “Educational Hospitalist” is an important  1    2    3    4 5    6    7    8    9member of the obstetrical team and the position should berenewed (filled) annually.

A Pilot Study Assessing the Value of an “Educational Hospitalist” in an OBGYN Residency Program

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1000&context=obstetrics-gynecology

A Pilot Study Assessing the Value of an “Educational Hospitalist” in an OBGYN Residency Program

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