What's Your Average Census? (Residency)

Discussion in 'Neurology' started by Ibn Alnafis MD, Jan 27, 2019.

?

# of patients per day

  1. Less than 5

    2 vote(s)
    11.1%
  2. 6-10

    7 vote(s)
    38.9%
  3. 11-15

    6 vote(s)
    33.3%
  4. > 15 (you spend most of your day typing notes)

    3 vote(s)
    16.7%
  1. Ibn Alnafis MD

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    I'm just trying to have an idea how my program compares.

    On average, what's your daily patient load?
     
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  2. Telamir

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    Do you mean your personal census or the team census?
     
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    Ibn Alnafis MD

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    Personal, but would be nice if you also mention team
     
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  4. Telamir

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    Was recently in residency/fellowship and currently a neuro-hospitalist so I'll bite.

    Residency: 6-10
    Working: >15 on most days.
     
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    Ibn Alnafis MD

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    Do feel 6-10 is adequate for learning?
     
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    #5 Ibn Alnafis MD, Jan 27, 2019
    Last edited: Jan 30, 2019
  6. Telamir

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    If you have your own primary/admitting service with decent turnover I'd say 6-10 is adequate to at times quite busy, especially since sometimes when other residents are off you'll see more people.

    <5 I'd expect more didactics or I'd really be trying to learn from my co-resident's patients.
     
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  7. Thama

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    There was no such thing as a personal census for us because we were Q4 overnight call. 20-30 patients among 2-3 residents was the norm.
     
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    Ibn Alnafis MD

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    Q4 throughout the entire year or only when you’re on inpatient service?
     
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  9. Thama

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    When on inpatient service, which was virtually the whole year as a junior resident.
     
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  10. OP
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    Ibn Alnafis MD

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    We may start doing that at my institution. Currently the call load is spread out evenly over the entire residency regardless of rotation. Not sure which system is better
     
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  11. oopsy

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    We had a Q4 system, we averaged 6-11 patients per resident, depending on the flow. Honestly after the first 24-48hrs, the learning drops off significantly (on average). I'd think about it more as admissions. We averaged 8 admissions a night (plus the cross-coverage), that was where the bulk of the learning was for me. I'd point out that as a senior, you'll have everyone on the list, and you'll learn 10x more because you won't be bogged down in the nonsense of junior life.
     

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