Overnight In-House Critical Care Resource Intensivist Improves General Surgery Resident Education

• Published in: The American surgeon Vol. 90; no. 8; p. 2095
• Main Authors: Zhang, Jeanette, Warner, Rachel, Sheffield, Abby, Hodge, Sarah, Crandall, Marie, Skarupa, David
• Format: Journal Article
• Language: English
• Published: United States 01.08.2024
• Subjects: Critical Care - organization & administration; Education, Medical, Graduate; General Surgery - education; Humans; Internship and Residency - organization & administration; Personnel Staffing and Scheduling - organization & administration; Surveys and Questionnaires; attending coverage; autonomy; resident education; 24/7; supervision
• ISSN: 1555-9823
• DOI: 10.1177/00031348241241658

24/7 critical care staffing has become more commonplace, and their impact on resident training must be carefully considered. At our institution, the Critical Care Resource Intensivist (CCRI) model was implemented to provide in-house dedicated faculty responsible solely for the provision of critical care overnight. An anonymous survey was distributed to all general surgery residents to evaluate CCRI's impact on education and autonomy. Descriptive statistics were completed for quantitative data. Qualitative analysis of free text responses was completed to identify consensus themes. Responses from 26 residents demonstrated they associated CCRI with improved resident education, supervision, and patient care, without limiting autonomy. Qualitative analysis yielded 7 themes, reflecting improvements in and , but noted potential for . Our findings show 24/7 dedicated intensivist staffing can enhance general surgery resident education without limiting autonomy.