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Abstract: FR-PO058

Nephrology Associate Program Director and Core Faculty Survey: Protected Time for Training Program Administration

Session Information

  • Educational Research
    November 03, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Educational Research

  • 1000 Educational Research


  • Yuan, Christina M., Walter Reed National Military Medical Center, Bethesda, Maryland, United States
  • Young, Brian Y., University of California Davis School of Medicine, Sacramento, California, United States
  • Watson, Maura A., Walter Reed National Military Medical Center, Bethesda, Maryland, United States
  • Sussman, Amy Nicole, The University of Arizona Health Sciences, Tucson, Arizona, United States

In 2024-25, the Accreditation Council for Graduate Medical Education (ACGME) will require core faculty to have 4 hrs/week of protected time for program administration. Associate program directors (APDs) must receive 4 hrs/week (more if >6 fellows). Program directors (PDs) surveyed in April 2022 reported protected time for core faculty was a median 1.5 hrs/week (39% had none) and a median 4 hrs/week for APDs.


In a follow-up survey of all US adult nephrology PDs (March 2023), we asked PDs to forward an anonymous survey link to APDs/core faculty, and to indicate how many were sent. We asked APDs and core faculty how much protected time they had, to indicate their program-related tasks, and estimate time needed to perform them.


57/149 (38%) of PDs forwarded the link to 454 faculty. Response was 27% (121/454); 87% completion.

52/57 PDs who forwarded the link had an APD; 94% (49/52) responded. 50% of PDs reported their APD had <4 hrs/week protected time. 37% had none. APDs had a median 2 hrs/week (IQR 0,4), and estimated needing 5 hrs/week (IQR 4.25,8) to effectively fulfill their role, regardless of program size.

67/402 (17%) core faculty responded. PDs reported faculty protected time was 2 hrs/week (IQR 0,4). 41% had none. Core faculty had a median 0.5 hours/week (IQR 0-2.75), and estimated needing 4 hrs/week (IQR 2.25, 5.75) to effectively fulfill their role, regardless of program size.

90-100% taught fellows during clinical rotations. >95% gave lectures; >85% attended conferences; >95% did fellow evaluations. 73% of APDs and 56% of faculty assisted in fellow remediation. 90% participated in recruitment; >85% mentored scholarly work; >60% mentored quality/safety training. APDs commonly managed rotations (62%) and wellness events (55%). 27% of APDs and 20% of faculty were at high risk for emotional exhaustion, reporting feeling “burned out from my work” daily or a few times a week.


APDs and core faculty have little protected time for program administration/didactic teaching, despite contributing substantially in these areas. About 40% have none. They estimate needing 4-5 hrs/week to effectively do their work, regardless of program size.

The views expressed in this abstract are those of the authors and do not necessarily reflect the official policy of the Department of Defense or the U.S. Government.