“Who’s on Backup?”—Exploring Internal Medicine Residency Backup Coverage Systems: Findings from a National Survey - Summary - MDSpire

“Who’s on Backup?”—Exploring Internal Medicine Residency Backup Coverage Systems: Findings from a National Survey

  • By

  • Emily S. Wang

  • Joel C. Boggan

  • Emily Leasure

  • Daniel Kim

  • Lydia Redway

  • Erica N. Johnson

  • Patricia F. Kao

  • Steven J. Durning

  • Mark Rasnake

  • May 18, 2026

  • 0 min

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Objective:

To define the prevalence of backup systems in Internal Medicine residency programs, describe their core characteristics, and understand the specific challenges faced by program directors in managing these systems.

Key Findings:
  • Backup systems are essential for managing resident absences due to various reasons, highlighting the need for effective implementation.
  • Many residency programs have ad hoc backup systems, often leading to resident burnout, indicating a critical area for improvement.
  • The survey revealed significant variability in how programs implement and manage these systems, which may impact resident well-being.
Interpretation:

The findings highlight the critical need for structured backup coverage systems in residency programs to mitigate burnout and improve resident satisfaction, emphasizing the importance of standardization.

Limitations:
  • The survey's reliance on self-reported data may introduce bias, potentially affecting the accuracy of the findings.
  • The study may not capture all nuances of backup systems across diverse residency programs, limiting the generalizability of the results.
Conclusion:

Implementing effective backup coverage systems is vital for supporting residents and reducing burnout, necessitating further research and standardization across programs to enhance overall residency training.

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