Table 2 Summary of PEC findings on inpatient and outpatient rotations at the VA (year 1)

Inpatient wards

• High-yield teaching and rounds

• Interesting patient population

• Good autonomy

• Standardize transition of patients from the emergency department to the floor

• Optimize the high workload of admitting days

• Optimize ways to update nurses on rounds

MICU

• One-on-one educational experience

• Intimate collaboration with colleagues

• Optimize flow process for nighttime radiology

• Address conflicts of understanding regarding VA policy

Medicine consults

• Good resident autonomy

• Good variety of cases

• Appropriate patient volume

• Opportunity for residents to learn how to be a consultant

• Make curriculum widely available

• Increase teaching experiences

Firm A and B clinics

• Excellent precepting by attendings

• High quality of care with enjoyable patient population

• Clarify expectations

• Involve residents more meaningfully in teamwork

Women’s clinic

• Outstanding attendings

• Good exposure to women’s health

• Balanced workload

• Excellent half-day teaching session

• Improve formal curriculum

Center of Excellence

• Favorable team structure

• Good mix of didactics and patient care

• Optimize patient workflow

• Increase opportunities for procedures