Effects of a new scheduling strategy for labor and delivery coverage. A residency’s experience pilot



MCH1 (6) - Johnson - laboristpdf

Project Title: Effects of a new scheduling strategy for labor and delivery coverage. A residency’s experience piloting a laborist coverage model for inpatient maternity care

Authors: Allie Johnson MD, Sean Buck MD, Swetha Iruku MD MPH, Katharine Kelly MD, Melissa Beagle MD MPH, Roxi Radi MD MPH, Charity Lehn MD

Program: University of Colorado Family Medicine Residency – Denver Health

Abstract: The proportion of FPs providing inpatient maternity care is small and rapidly decreasing (Barreto et al, 2017). Residents and faculty at the Denver Health (DH) Track of the University of Colorado Family Medicine Residency (UCFMR) are investigating the effects of shifting from home call to a laborist model on resident learning and faculty satisfaction, which started in October 2019. A pre-survey reported that 90.9% of residents were satisfied with the teaching received from FM faculty under the home-call model. However, 90% of faculty members were dissatisfied with their experience under that same model. Key issues raised were lack of work-life balance (90% dissatisfied), low patient volume while on call (80% dissatisfied), and inadequate opportunities to teach residents (70% dissatisfied). We plan to repeat the survey in April of 2020, tracking effects of shifting to the laborist model on patient volume, resident learning, and faculty satisfaction.

Learning Objectives: Participants will be able to… • determine if a laborist model supports work life balance • consider changes to the structure of their own OB care • develop future improvements in labor and delivery coverage for FP physicians

Category: Maternal and child health

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