Effects of the implementation of a no-pull policy on radiology resident staffing

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology Pub Date : 2026-01-01 Epub Date: 2025-08-11 DOI:10.1067/j.cpradiol.2025.08.010

Jeffrey Girardot MD , Anthony Higinbotham MD , Kamand Khalaj MD, MPH , Ameya Nayate MD , Inas Mohamed MD , Michael Wien MD , Navid Faraji MD

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引用次数: 0

Abstract

Objective

The aim of this study was to evaluate the impact of a "no-pull" policy in radiology residency programs, which prevents residents from being pulled from their scheduled rotations to cover other services. The hypothesis was that such a policy reduces the uneven distribution of training across subspecialties, ensuring that residents receive a more comprehensive education.

Methods

Resident schedules from two years prior to the implementation of the no-pull policy were compared with those from two years after the policy was enacted. Any instance where a resident was reassigned from their scheduled rotation to cover a different subspecialty due to staffing needs was recorded as a "pull." The number of pull days was calculated and compared across both periods. A total of 40 residents' schedules were analyzed for both pre- and post-policy periods.

Results

Two- and one-year pre-policy, the number of total pulls was substantial at 369 and 372 pull days, respectively. One- and two-years post-policy, the number of pull days dramatically decreased to 76 and 89 pull days, respectively. This equates to an average of 82.5 total pull days per year, or just 2 pull days per resident annually—a 78% reduction.

Discussion

The implementation of a no-pull policy in radiology residency programs significantly decreased the number of days residents were reassigned to cover under-staffed specialties. This change contributed to a more consistent and well-rounded training experience, ensuring residents gained valuable time in all subspecialty rotations without being diverted to cover others.

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实施不拉政策对放射科住院医师人员配置的影响。

目的：本研究的目的是评估“no-pull”政策对放射科住院医师计划的影响，该政策可以防止住院医师从预定的轮转中被拉到其他服务中。他们的假设是，这样的政策减少了培训在亚专业之间的不平衡分布，确保住院医生接受更全面的教育。方法：比较免拔政策实施前2年与政策实施后2年的住院时间安排。由于人员需求，住院医生从原计划的轮换中被重新分配到不同专科的任何情况都被记录为“调入”。计算并比较了两个时期的拉车天数。在政策实施前后，共分析了40名居民的日程安排。结果：政策前2年和1年，总牵拉次数分别为369和372天。政策实施后1年和2年，拉车天数分别大幅减少至76天和89天。这相当于每年平均有82.5个拉车日，或者每个居民每年只有2个拉车日，减少了78%。讨论：在放射科住院医师项目中实施不拉政策显著减少了住院医师被重新分配到人手不足的专科的天数。这一变化有助于更加一致和全面的培训经验，确保住院医生在所有亚专科轮转中获得宝贵的时间，而不会被转移到其他专科。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Diagnostic Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

3.00

自引率

0.00%

发文量

113

审稿时长

46 days

期刊介绍： Current Problems in Diagnostic Radiology covers important and controversial topics in radiology. Each issue presents important viewpoints from leading radiologists. High-quality reproductions of radiographs, CT scans, MR images, and sonograms clearly depict what is being described in each article. Also included are valuable updates relevant to other areas of practice, such as medical-legal issues or archiving systems. With new multi-topic format and image-intensive style, Current Problems in Diagnostic Radiology offers an outstanding, time-saving investigation into current topics most relevant to radiologists.