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Key Literature in Medical Education (KeyLIME) is a weekly podcast produced by the Royal College of Physicians and Surgeons of Canada.

We bring you the main points of a medical education article in under half a hour! Articles that are important, innovative, or will impact your educational practice are discussed. Earn MOC credits under Section 2 for each podcast.  

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Sep 5, 2023

Episode length 24:50

This updated Time-and-Motion study chosen by Jason Frank is a secondary analysis of the iCOMPARE cluster RCT of 2 duty hours approaches back in episode 165. 

The authors selected 6 US university affiliated and community-based hospitals that had interns working on general medicine wards in 2016. They hired 23 observers and trained them who over 3 months, conducted 1:1 observations of 194 workdays.

Jon believes the observers deserve a medal of honour for spending nearly 200 days hospitals watching interns walk around!

Voting for Methods and Impact - at 20 minutes in.

 Authors:  Chaiyachati et al.,

Publication details:  Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Intern Med. 2019 Apr 15.