Data are mixed on whether quality of care deteriorates at academic medical centers each July with the arrival of new house staff. To evaluate the impact of the new academic year on patient experience, we analyzed survey data from 900,018 patients who were hospitalized in 2015 at institutions that are members of the Council of Teaching Hospitals. The figure above presents patient ratings on a 100-point scale for physician performance, likelihood of recommending the hospital, and the overall rating of the care given. The six weeks beginning in July are highlighted. The data suggest gradual overall improvement in patient experience throughout the year, and no deterioration in July. Multiple factors could affect these findings, including the attitude of new house staff and greater efforts taken to ensure quality and coordination.
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