Operationalisation of primary education measures
| Hypothesis | Primary data source | Who | Definition |
| 2a: Time in direct patient care and education | Time-Motion substudy | PGY1 | Per cent of observed shift minutes spent in each activity |
| 2b: Trainee satisfaction | ACGME year-end trainee survey | PGY1–3 | A single item on the ACGME resident survey re: appropriate balance for education with response options of never, rarely, sometimes, often, very often |
| 2c: Programme director satisfaction | ACGME core faculty survey | Core faculty | A single item on the ACGME faculty survey that asked about residents’/fellows’ workload exceeding the capacity to do the work with response options of never, rarely, sometimes, often, very often |
| 2d: Standardised test scores | ACP in-training examination scores | PGY1 | Per cent of questions answered correctly |
ACGME, Accreditation Council for Graduate Medical Education, ACP, American College of Physicians; PGY, postgraduate year.