Authors: Brian Adam Crosland MD, MPH, Judith Chung MD, PhD, Vasiliki Tatsis MD MS.
Background: By 2014, there were more than 1,700 Obstetrician Gynecologic (OB/GYN) hospitalists working at more than 243 hospitals in the United States, representing approximately 10% of hospitals offering maternity care. There is a paucity of data assessing the impact of the hospitalist care model on house staff education and delivery
of patient care.
Objective: The goal of this study is to assess parameters surrounding the educational experience of OB/GYN residents while being supervised on Labor and Delivery by attendings from each of the Department’s Divisions.
Methods: A Likert scale survey was developed and distributed to determine residents’ perceptions of 4 quality metrics (quality of patient care, teaching, professional relationships, and resident autonomy) amongst department provider groups: Generalists, Hospitalists, Family Planning, Maternal-Fetal-Medicine, and Gynecology Oncology. STATA MP 10 was used to analyze data. As a function of attending provider group, questions were analyzed individually using Fisher Exact test. Questions were grouped by quality metric and analyzed using the Student t test. P-value <0.05 was considered statistically significant.
Results: A 100% response rate (N = 28) yielded three statistically significant metrics for the Hospitalist group: ‘quality of patient care’ 20.5 ± 0.94 (p=0.003), ‘teaching’ 26.6 ± 0.89 (p<0.001), and ‘professional relationships’ 25.7 ± 1.5 (p<0.001). The Hospitalist providers scored significantly higher in resident teaching, mean score 26.6 ± 0.89 (p<0.008).
Conclusion: These results help demonstrate the positive impact the OB/GYN hospitalist role has on house staff experiences and its potential in academic medicine.
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