Background: Obstetrics and Gynecology residency programs nationwide are continuously modifying their programs in order to provide residents the best training. At the University of Miami Miller School of Medicine, a transition occurred one year ago from a team-based learning system to a block-based learning system.
Methods: An internet-based survey was created with SurveyMonkey.com and was distributed to PGY-2, PGY-3, and PGY-4 residents. Fisher’s exact testing was used to analyze associations between learning system type and level of satisfaction.
Results: The survey was distributed to 27 residents and was completed by 23 (85% completion rate). After one year of working in a block-based learning system, the residents were more satisfied than they were with the previous team-based system (p < 0.001). A greater percentage of residents agreed that the block-based system allowed them adequate time to prepare for patient encounters (87%); adequate time to manage patients (83%); and opportunities to resolve interpersonal conflicts (78%). A smaller percentage of residents agreed that the team-based system allowed for these factors, respectively 35%, 41%, and 30%. Overall, 87% of participants preferred the block-based to the team-based system.
Discussions: Obstetric and Gynecology residents at our institution prefer a block-based learning system approach to a team-based learning system approach. More research is needed to evaluate longitudinal preferences and overall improvements in clinical evaluation and CREOG scores.
Keywords: residency, block-based system
Topics: CREOG & APGO Annual Meeting, 2016, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Professionalism, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, GME,
Lydia Fein, MD, MPH, Jackson Memorial Hospital/University of Miami; Rachel Franklyn, MD; Tessa Krantz, MD; Carlos Medina, MD
