PDF(Pubmed)
Abstract：
The Accreditation Council for Graduate Medical Education (ACGME) required that program directors receive 10-20 h/wk of protected time for program administration (including didactic teaching). In July 2022, this was reduced for all internal medicine subspecialties on the basis of program size, with 8 h/wk required for programs with fewer than seven fellows, the majority of nephrology programs.
We surveyed all 151 US adult nephrology program directors (ACGME Public List of Programs 2021-2022) to determine how much protected time they receive, how much they think is necessary, and the division of their professional time. The anonymous 20-question online survey was administered from March 31 to April 30, 2022. The analysis was descriptive.
Response rate was 66% (99 of 151). Geographic distribution and approved fellow positions were similar to programs nationally; 59% had fewer than seven approved positions. Median protected time was 10 h/wk (interquartile range, 5-10), with 8 h/wk (interquartile range, 5-10) for those with fewer than seven positions. Program directors estimated needing 12 h/wk (interquartile range, 10-16) to effectively administer programs, including those with fewer than seven positions, a median 5 h/wk (interquartile range, 0-7) more than received. Of program directors reporting <10 h/wk for program administration, 62% provided >20 hours of direct patient care. Thirty-nine percent had no protected time for core faculty. Fellow recruitment (68%) was the most time-consuming task, and didactic teaching (80%) was the most professionally rewarding.
Approximately half of the nephrology programs surveyed were not in compliance with the ACGME-stipulated 10-h/wk minimum protected time for the 2021-2022 training year. Program directors estimated a median of 12 h/wk are needed to effectively manage programs.
We surveyed all 151 US adult nephrology program directors (ACGME Public List of Programs 2021-2022) to determine how much protected time they receive, how much they think is necessary, and the division of their professional time. The anonymous 20-question online survey was administered from March 31 to April 30, 2022. The analysis was descriptive.
Response rate was 66% (99 of 151). Geographic distribution and approved fellow positions were similar to programs nationally; 59% had fewer than seven approved positions. Median protected time was 10 h/wk (interquartile range, 5-10), with 8 h/wk (interquartile range, 5-10) for those with fewer than seven positions. Program directors estimated needing 12 h/wk (interquartile range, 10-16) to effectively administer programs, including those with fewer than seven positions, a median 5 h/wk (interquartile range, 0-7) more than received. Of program directors reporting <10 h/wk for program administration, 62% provided >20 hours of direct patient care. Thirty-nine percent had no protected time for core faculty. Fellow recruitment (68%) was the most time-consuming task, and didactic teaching (80%) was the most professionally rewarding.
Approximately half of the nephrology programs surveyed were not in compliance with the ACGME-stipulated 10-h/wk minimum protected time for the 2021-2022 training year. Program directors estimated a median of 12 h/wk are needed to effectively manage programs.
摘要：
目的：研究生医学教育认证委员会（ACGME）要求项目主管获得10-20小时/周的项目管理保护时间（包括教学教学）。2022年7月，根据计划规模，所有内科亚专科的费用都有所减少，少于7名研究员的项目需要8小时/周，大多数肾脏病学项目。
方法：我们调查了所有151名美国成人肾脏病学项目主管（ACGME公共项目名单2021-2022），以确定他们获得了多少保护时间，他们认为有多少必要，以及他们专业时间的划分。匿名20个问题的在线调查于2022年3月31日至4月30日进行。分析是描述性的。
结果：反应率为66％（151个中的99个）。地理分布和批准的同事职位与全国计划相似；59％的人拥有不到7个批准职位。中位保护时间为10小时/周(四分位间距，5-10),8小时/周(四分位数间距，5-10）对于那些位置少于七个的人。项目主管估计需要12小时/周(四分位数范围，10-16)有效地管理程序，包括那些职位少于七个的人，中位数5小时/周(四分位数间距，0-7）比收到的多。在计划管理报告<10小时/周的计划主任中，62%的人提供了>20小时的直接病人护理。39%的人没有核心教师的保护时间。招募同事(68%)是最耗时的任务，和说教式教学（80％）是最专业的回报。
结论：接受调查的肾脏病学项目中约有一半不符合ACGME规定的2021-2022培训年度10小时/周的最低保护时间。项目主管估计，要有效管理项目，平均需要12小时/周。
方法：我们调查了所有151名美国成人肾脏病学项目主管（ACGME公共项目名单2021-2022），以确定他们获得了多少保护时间，他们认为有多少必要，以及他们专业时间的划分。匿名20个问题的在线调查于2022年3月31日至4月30日进行。分析是描述性的。
结果：反应率为66％（151个中的99个）。地理分布和批准的同事职位与全国计划相似；59％的人拥有不到7个批准职位。中位保护时间为10小时/周(四分位间距，5-10),8小时/周(四分位数间距，5-10）对于那些位置少于七个的人。项目主管估计需要12小时/周(四分位数范围，10-16)有效地管理程序，包括那些职位少于七个的人，中位数5小时/周(四分位数间距，0-7）比收到的多。在计划管理报告<10小时/周的计划主任中，62%的人提供了>20小时的直接病人护理。39%的人没有核心教师的保护时间。招募同事(68%)是最耗时的任务，和说教式教学（80％）是最专业的回报。
结论：接受调查的肾脏病学项目中约有一半不符合ACGME规定的2021-2022培训年度10小时/周的最低保护时间。项目主管估计，要有效管理项目，平均需要12小时/周。
