Discrepancies in After-Hours Communication Attitudes between Pediatric Residents and Supervising Physicians

Objective To examine differences in expectations when a resident should contact a supervising physician in several hospital-based, after-hours clinical circumstances. Study design We developed 34 scenarios collectively considered the most common or serious issues encountered by on-call residents, an...

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Bibliographic Details
Published in:The Journal of pediatrics 2015-12, Vol.167 (6), p.1429-1435.e2
Main Authors: Palakshappa, Deepak, MD, Carter, Lindsay P., MD, El Saleeby, Chadi M., MD, MS
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Child
Clinical Competence
Communication
Education, Medical - methods
Female
Humans
Internship and Residency
Male
Pediatrics
Pediatrics - education
Physicians - psychology
United States
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Summary:Objective To examine differences in expectations when a resident should contact a supervising physician in several hospital-based, after-hours clinical circumstances. Study design We developed 34 scenarios collectively considered the most common or serious issues encountered by on-call residents, and incorporated them into a survey of pediatric residents, fellows, and attendings. For each scenario, participants were asked whether the resident should talk to the attending/fellow immediately or delay communication until the next day. ORs comparing attendings/fellows and residents were calculated, and subgroup analyses were performed examining differences among the study populations. Results A total of 112 participants completed the survey (91% response rate). In 17 of the 34 scenarios (50%), more attendings/fellows than residents asked for immediate communication (OR >1; P  
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2015.08.052