Purpose: To define the challenges and experiences of Obstetrics and Gynecology (OBGYN) administrative chief residents (ACRs) and identify support needed to make them successful.
Background: ACRs are integral to OBGYN residency programs, however little research has been done on the experiences, training, and support of ACRs.
Methods: A Qualtrics survey was emailed to program coordinators at all 292 ACGME OBGYN residency programs. Response styles included MCQs, yes/no, likert scales, and short answer. Question topics included demographics, chief duties, support, and experiences. Study participants were defined as current / past ACRs (2019-2020, 2018-2019) and program directors (PDs).
Results: Ninety two ACRs and 24 PDs received the survey, as confirmed by program
coordinators. Forty five surveys were completed (response rate 39%), including
38 (84%) ACRs and 7 (16%) PDs.
The majority (67%) were from academic programs with a median of six residents
and two ACRs per year. Forty-nine percent of respondents reported ACRs spend 4-7
hours per week on administrative duties. Eighty seven percent reported no
protected time. On a 10-point likert scale, mean perceived support from
faculty, PD, administration, and other residents was 6.8, 8.6, 7.1, and 7.5
respectively; however, mean stress level was 7.1.
Common challenges reported by ACR’s are conflict resolution and workload
management. Many ACRs felt they would benefit from formal leadership training
and protected time.
Discussions: These results summarize the experience of ACRs. Best practices and formal training in identified challenge areas should be added to residency curriculum and used to develop toolkits to support ACRs nationwide.
Topics: CREOG & APGO Annual Meeting, 2020, Resident, Faculty, Residency Director, Residency Coordinator, Professionalism, Interpersonal & Communication Skills, GME, Assessment, Team-Based Learning,
Emma Lawrence, MD; University of Michigan; Aimee Rolston, MD, MS; Anita Malone, MD; David Marzano, MD
