Resident Education in Developmental Behavioral Pediatrics: The Impact of the 80-Hour Work Week
Bibliographic record
Abstract
OBJECTIVE: This study assessed the structure of pediatric resident developmental behavioral pediatrics (DBP) rotations in the context of the Accreditation Council for Graduate Medical Education duty hour mandates. METHODS: : We distributed an online survey addressing rotation structure, call schedule, and impact of the duty hour policy to resident DBP rotation directors in 114 of 204 pediatric residency programs in the United States and Canada and received responses from 81 programs (71% response rate). RESULTS: Seventy-five percent of respondents reported an average of 16% reduction in their DBP rotation after implementation of the Duty Hours rule in 2003. More programs having overnight calls during the rotation reported decreases versus those without overnight calls (91% vs 52%, p < .001). CONCLUSIONS: Decreases in exposure to DBP, a result of duty hour mandates, may be negatively impacting benefits of mandatory DBP rotations. Attention may need to be given to the consequences for resident education in DBP.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".