The Medicine Sweeper: Design and Implementation of a New Resident Role to Combat Workflow Interruptions

Workflow interruptions are increasing alongside the growing complexity of healthcare delivery. Resident physicians are particularly vulnerable to the adverse effect of a fragmented workflow which can result in negative patient-care outcomes, accelerated burnout, reduced well-being, and less protected time for dedicated educational activities. This session will discuss an innovative clinical rotation designated as the "Medicine Sweeper", designed to combat the workflow interruptions on medicine teaching teams. Interruptions to the normal workflow can include early admissions, emergent procedures, and rapid responses - urgent patient care needs that can be difficult to balance with the competing priority of completing team-based rounds. This role is defined as a multifunctional support system for medicine teaching teams with a primary focus on minimizing disruptions to pre-rounding/rounding, assisting teams during high-volume, high-demand periods, and preventing unnecessary medicine admissions. The "Medicine Sweeper" supports resident graded autonomy and helps to reduce delays in patient care.

Speakers

  • Aaron Fried, MD
  • Debra Bynum, MD, MMEL
  • Jennifer McEntee, MD, MPH, MA.Ed

Additional Information

Year Published: 2023 - APDIM Fall Meeting