PURPOSE: During medical Intensive Care Unit (ICU) rotations, many residents were thought to be too busy, or too far away, to attend the standard lecture series at our University of California San Francisco, Fresno, campus. This study was designed to determine if creating a new team-based lecture series focused on common ICU topics, given in the ICU, could improve overall attendance at educational conferences. The study was conceived to respond to recommendations of the Society of General Internal Medicine’s Task Force for Residency Reform to adjust education to focus on a team based model to promote learning and improve patient care.
METHODS: We gathered the attendance records for all internal medicine residents for all conferences between two periods of time, one was between August 2008 and February 2009 and the second one was between August 2009 and February 2010. The second period included the new ICU team-based lecture series that was started in August 2009. We compared attendance before and after the new lecture series was started. The resident’s level of training, current rotation, lecture type, lecture location and provision of food was measured.
RESULTS: We found that the new ICU lectures contributed to an absolute decline of 8.9% [131/180 (72.8%) compared to 115/180 (63.9%)] in overall attendance since August 2009. This study showed that team-based ICU lectures, when used as a replacement for the required standard lectures, created a significant decline in attendance.
CONCLUSION: Our anecdotal evidence suggested that residents had a hard time attending a distant conference during the ICU rotation. We postulated that easier conference access, and a team based approach, would allow for increased attendance. What was lacking was evidence on whether a curriculum based lecture series, given in the ICU, would improve overall attendance-which it did not.
CLINICAL IMPLICATIONS: We found that residents may be less likely to attend these rotation-centered conference, and their overall attendance declined significantly. We may need to re-evaluate this model for future use.
DISCLOSURE: Garrett Bird, No Financial Disclosure Information; No Product/Research Disclosure Information