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- New ACGME Requirements
- Be Prepared for the Upcoming Academic Year
- Childcare is Unaffordable for US Medical Residents
- Milestone Ratings and Certification Exam Scores Coincide with Patient Outcomes
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New ACGME Peds Program Requirements
Easier to track, more personalized rotations, and more outpatient experience are the big changes. For hospitals, the big change is a reduction in availability of residents for specialty services in inpatient environments. Which is a nice way of that PICU and NICU time is reduced, and subspecialty rotations are limited to four weeks, which impacts staffing availability.
New ACGME Peds Program Requirements Present Challenges and Opportunities - The Hospitalist
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Be Prepared for the Upcoming Academic Year
Start your program off right this academic year with Med-Challenger for Residencies. Have the tools and content at your disposal to achieve all your program goals easily and effectively. Med-Challenger offers assignment based and self-driven study options, comprehensive reports, and blueprint based content that will prepare your residents for ITEs and board exams.
Learn More About Med-Challenger for Residencies
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Childcare is Unaffordable for US Medical Residents, National Study Finds
Well, yes. The last 23 years have seen the cost of day care and preschool rise 131%, not adjusted for inflation. Adjusted for inflation, you get 3.55% per year, with the last three years being over 4%, adjusted for inflation. Average resident salary is $63,000 - but widely variable over specialty and location. Some of this is the lag between costs and income. The US Consumer Price Index was up a mind-numbing 18% between 2019 and 2023 - and that’s using the numbers that exclude a lot of housing and fuel variability. Wages have most definitely not kept up.
Which isn’t to get off into an inflation rant. Residency has changed over the last 20 years, and is usually a net contributor to a hospital, and a necessary filter and oversight for training. Funding, internal and external, ought to reflect that.
Childcare is Unaffordable for US Medical Residents, National Study Finds
Internal Medicine Residency Milestone Ratings and Certification Examination Scores Coincide with Patient Outcomes
The study referenced 6,898 new hospitalists over three years, measuring patient outcomes and knowledge ratings against their milestone ratings and certification examination scores. The manual milestone method had no correlation to hospital outcomes.
Which makes pretty good sense, if you think about the aim of milestones and narrowness of the population it is being applied to. One function of residency, not often discussed, is to be the last barrier to entry into the professional standards of a practicing physician. Residents failing to meet the milestone levels as determined by their leads and faculty is likely to be not ending up as a physician. It’s also likely that certification scores too low to pass are accompanied by poor milestone performance.
So a good study, in a spot that needs some, but you are examining the physicians that successfully exited to a career in medicine.
