The other key ingredient is adequate staff. We always assign the resident a nurse to work with them. This is likely to be the staffing arrangement in practice but is generally not achieved in training. The resident is assigned to these productivity days once in their second and again in their third year. Our residents have rated these days very positively.
All residents become more efficient as they advance through training.
Residents, however, lack role modeling in this area and have observed that they develop patterns which are harder to break once they are in practice. They understand that faculty are generally much more efficient, but have lacked an opportunity to concentrate in this area. For those residents desiring to do so, we also schedule a time for the resident to observe the faculty while seeing patients. This again, has been felt by residents to be worthwhile. Go to top of page.