Resident Emory University School of Medicine Atlanta, Georgia, United States
Background: Morning report is a valuable educational tool for resident physicians. Case-based discussion and faculty engagement are crucial to resident views on morning report (1). A needs assessment at our institution demonstrated that pediatric residents were not satisfied with morning report. Objective: Our primary aim is to improve overall resident satisfaction with morning report from an average of 3.3 out of 10 to at least 7 out of 10 in 8 months. Our additional specific aims are to increase average resident satisfaction with curriculum, faculty engagement, and resident focus to 4.5 out of 5 in 8 months. Design/Methods: To understand the drivers of resident satisfaction with morning report, we performed a needs assessment and created a pareto chart. Leading responses included content and format, faculty presence and engagement, and resident inability to focus.
Targeting key drivers identified in the needs assessment, we addressed curriculum in our first PDSA cycle. We prepared case-based discussions aligned with American Board of Pediatrics content, invited faculty and fellows to present wraps, and incorporated board review. Based on the outcome of these interventions, our second PDSA cycle focuses on increasing faculty attendance through outreach to division leadership and emailing a monthly schedule. We are actively studying the impact of our second intervention, and tentatively plan to address resident interruptions during morning report for our third cycle.
After each morning report, residents complete a voluntary, anonymous survey. The survey includes multiple choice questions with a 5-point Likert scale (1=strongly disagree, 5=strongly agree).
Using survey data, we are tracking project measures in run charts that include the baseline period (January to June 2023) and an 8-month intervention period (August 2023 to March 2024). At the end of the intervention period, we will ask residents to rate their overall satisfaction and compare it to the pre-intervention data using an unpaired t-test. This project is considered exempt by the Institutional Review Board.
