Residency programs are required to offer a didactic curriculum and protect resident time for education. Our institution implemented an academic half day (AHD) in the 2021–2022 academic year to address issues related to the standard noon conference series. Determine the impact of AHD implementation on education, patient safety, and workflow. This was a prospective, single-site educational intervention study. Pre- and post-implementation surveys and Accreditation Council for Graduate Medical Education (ACGME) surveys assessed changes in trainee and faculty attitudes and behaviors. Patient safety and workflow were evaluated by comparing the number of safety event reports, rapid response team activations, time to admission from the ED, and time of discharge on AHD days compared to other weekdays. Survey response rates were: residents 68%/48%, fellows 42%/35%, and faculty 59%/29%. AHD was associated with a significant, positive change in resident attitudes and experiences and on ACGME survey items. On AHDs compared with other weekdays, there were no significant differences in safety event report rates ( = .98), nor in rapid response team activation rates ( = .99). There was not a clinically meaningful difference in median admission time from the ED on AHD weekdays (125 minutes) compared to other weekdays (130 minutes, = .04). There was no significant difference in median discharge time on AHD vs other weekdays ( = .13). This study suggests that there is no significant difference in patient safety or workflow with the implementation of AHD. This study supports prior studies that residents strongly prefer AHD. AHD may be a useful framework for resident education without compromising patient care.

中文翻译：

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学术半日课程在不影响患者安全的情况下提高了居民对教育的看法

住院医师计划必须提供教学课程并保护住院医师的教育时间。我们机构在 2021-2022 学年实施了学术半天 (AHD)，以解决与标准中午会议系列相关的问题。确定 AHD 实施对教育、患者安全和工作流程的影响。这是一项前瞻性、单中心教育干预研究。实施前和实施后的调查以及研究生医学教育认证委员会 (ACGME) 的调查评估了学员和教师态度和行为的变化。通过比较安全事件报告的数量、快速反应团队的激活、从急诊室入院的时间以及与其他工作日相比，AHD 日的出院时间来评估患者安全和工作流程。调查回复率为：住院医师 68%/48%，研究员 42%/35%，教员 59%/29%。 AHD 与居民态度和体验以及 ACGME 调查项目的显着、积极的变化相关。与其他工作日相比，AHD 的安全事件报告率 (= .98) 和快速响应团队激活率 (= .99) 没有显着差异。与其他工作日（130 分钟，= 0.04）相比，AHD 工作日从急诊室入院的中位时间（125 分钟）没有临床意义的差异。 AHD 与其他工作日的中位出院时间没有显着差异 ( = .13)。这项研究表明，AHD 的实施在患者安全或工作流程方面没有显着差异。这项研究支持了之前的研究，即居民强烈喜欢 AHD。 AHD 可能是一个有用的住院医师教育框架，同时又不影响患者护理。