Key result
Adding an internal medicine residency to a non-teaching hospital is linked to ~90% lower mortality.
Why the study?
Introducing graduate medical education to a non-teaching hospital is challenging due to perceived potential negative impacts on quality and cost of care.
Does starting a new Internal Medicine residency program improve quality of care measures in a community hospital?
Population
Patients admitted to a hospitalist group before (1,295) and after (2,532 and 3,061) residency implementation
Comparison
10 months pre-residency vs two consecutive years post-residency implementation
Design
Retrospective longitudinal study
Follow-up
Two consecutive years
Authors
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May support new residency programs in community hospitals; hypothesis-generating and requires prospective confirmation before practice change.
Cohort (n=6,888)
No
Does starting a new Internal Medicine residency program improve quality of care measures in a community hospital?
Absolute Event Rate: 0.2% vs 2%
p-value: p=<0.01
Starting a new Internal Medicine residency program at a community hospital significantly reduced patient mortality rates without negatively impacting other quality measures such as readmission rates or length of stay.
Savoj et al. (2021) conducted a cohort in Inpatient Adult Medicine admissions (n=6,888). Implementation of an Internal Medicine residency program vs. Pre-residency period (10 months prior) was evaluated on Mortality rate (p=<0.01). Starting a new Internal Medicine residency program in a non-teaching hospital significantly decreased the mortality rate from 2% to 0.2% over two years without negatively affecting other quality measures.
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