Pediatric Resident Lucile Packard Children's Hospital Stanford Menlo Park, California, United States
Background: The inpatient hospital admission process is critical for patient safety, accurate medical management, and communication. While the expectation is a consistently accurate admission, there is no published process for new residents to learn from. Objective: 1. To evaluate the self-confidence of pediatric residents who complete hospital admissions. 2. To evaluate the efficacy of an educational guide provided to pediatric intern residents. Design/Methods: This study is an IRB-exempt curricular study of Stanford Pediatric PGY1 residents (N=39) from Summer 2023 to Spring 2024. Using Kern’s 6-steps of curriculum development, following literature review, we disseminated a needs assessment asking how current residents learned to complete an admission. Next, we distributed a pre-survey from August-October 2023 to interns to assess current confidence with hospital admissions, number of admissions completed, and how PGY1s learned to complete an admission. We then developed and released a “Hospital Admissions Guide” to all interns. The last step is to distribute a post-survey in February 2024 to reassess resident confidence with hospital admissions and also elicit feedback regarding the efficacy of the teaching material.
38 residents responded to the pre-survey. 17 (45%) residents indicated they first learned how to do an admission as a medical student and 21 (55%) learned in Intern year with a senior resident. By 4 months into residency, 17 (45%) of residents had completed 1-5 admissions, with 5 (14%) of residents completing > 20 admissions. There was a bell curve distribution of confidence levels with 22 residents (56%) indicated they were “somewhat confident” with an admission, defined as needing to ask 1-2 questions to the senior during the process. 95% of residents indicated it would be useful to have a curriculum to teach the admission process prior with a one-on-one approach with a senior resident or coach.
We anticipate that resident confidence with hospital admissions will increase with number of completed admissions and with the aid of teaching material.
