Navigation Links
Survey finds surgical residents view duty hour regulations as a hindrance to training
Date:7/14/2009

CHICAGO (July 14, 2009) Results of a survey published in the July issue of the Journal of the American College of Surgeons show that a large subset of surgical residents consider duty hour regulations (DHR) a significant barrier to their surgical education and express a desire for flexibility to work longer hours than current restrictions allow.

The implementation of DHR in 2003 was intended to address resident fatigue and improve patient safety. Prior to implementation, residents often worked 100 hours or more weekly; currently, residents are limited to an 80-hour work week. Although studies have shown that residents are getting more sleep and their personal lives are improved, the effect of DHR on case load, academic performance, and board examination performance is still poorly understood. The effect of DHR on patient care also remains uncertain, and there is evidence to suggest that there has been an increase in communication errors as a result of frequent patient handoffs.

"We were surprised to find that nearly half of surgical residents believe work-hour restrictions are actually an impediment to their training," said Jacob Moalem, MD, Department of Surgery, University of Rochester (NY) Medical Center. "Our current system limits educational opportunities for surgeons who are expressing a desire and a need to learn more in a compact time frame. Senior surgery residents should be given the chance to control their own schedules as they continue to refine their technical skills and transition into independent practice."

An Internet-based survey was electronically distributed to all resident and associate members of the American College of Surgeons. The first question asked respondents to rate the impact of DHR on their education as "no barrier," "minimal barrier," "moderate barrier" and "significant barrier." For analysis, the first two choices were grouped and retitled "no barrier," and the latter two choices were grouped and called "barrier." The second question asked respondents how many hours they considered ideal for their postgraduate year in their program. Choices provided were <60 hours, 60 to 80 hours, 80 to 100 hours, and >100 hours per week.

Of 599 respondents, 41 percent believed that DHR were a considerable or moderate barrier to their education. Less than one-third of residents reported that their education was not hindered by DHR. Another 27 percent stated that DHR were a minimal barrier to their education.

A small majority of residents (52 percent) reported that the ideal number of hours for their training was 60 to 80, in line with the current DHR. Forty-three percent believed that 80 to 100 hours per week would be ideal.

The belief that DHR represented a substantial or moderate barrier to education was correlated with the belief that the ideal DHR should be greater than 80 hours per week (p< 0.0001). Furthermore, the likelihood that residents and fellows considered DHR a barrier to their education was highly related to their level of training (p=0.03). First- and second-year residents were more than twice as likely to believe that DHR were not a barrier to education (p=0.0003 and p=0.006, respectively). Conversely, the proportion of residents who believed that DHR substantially interfered with their education peaked as they approached graduation. Compared with only 7 percent of junior residents, 32 percent of residents in or beyond their seventh postgraduate year reported that DHR were an important barrier to their education (p = 0.006).


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. New Survey Highlights Emotional, Financial Toll Multi-Generational Tobacco Use Takes on Parents Sandwiched In Between
2. Kaiser Permanente Survey Shows Seniors Embrace Internet to Manage Their Health
3. Survey: Speech Therapy Helps, But People Who Stutter Suffer Discrimination
4. For Treatment of Dyslipidemia, Surveyed Physicians are Increasingly Switching Patients to a More Potent Statin Following the ENHANCE and SEAS Trials
5. National Survey: Americans Fear Paying for Cancer Treatment As Much As Dying of the Disease
6. New Survey Reveals High Expectations for Popular Aesthetic Injections
7. NEUTROGENA(R) and BabyCenter Sun Survey Finds While Mom Knows Best She Can Learn Even More When it Comes to Sun Protection
8. National Survey Shows 70% of Women Have Experienced a Sexual Health Issue
9. CED/Zogby Release Survey of Business Perspectives on Healthcare Reform
10. Availability in Both Intravenous and Oral Formulation is a Leading Drug Attribute Surveyed Physicians Prefer for the Treatment of Urinary Tract Infections in the Hospital Setting
11. SouthWest Benefits Association Survey Finds Employers Continue to Focus on Health and Wellness during Economic Downturn
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2017)... ... May 26, 2017 , ... The ... educational seminar to focus on current legislative activity and the latest regulatory concerns ... 1 p.m. Sunday, Sept. 10, and will continue through Monday, Sept. 11, at ...
(Date:5/26/2017)... ... ... A new analysis of community health data reveals that four out of ... With the average cost of healthcare rising and the U.S. senior population expected to ... affordability of where they live. An annual 2017 report looked at a variety of ...
(Date:5/26/2017)... ... May 26, 2017 , ... On May 24, the ... narrowly passed the U.S. House on May 4, would result in 23 million Americans ... continued implementation of the 2010 Patient Protection and Affordable Care Act (ACA). , ...
(Date:5/26/2017)... ... May 26, 2017 , ... Silver Birch of Hammond, a ... located on more than four acres of land at 5620 Sohl Avenue in Hammond, ... 103,000 square-foot building includes 125 studio and one-bedroom apartments. Each of the private apartments ...
(Date:5/26/2017)... ... ... the Stars Lead Home”: a poignant story of loss, determination, and perseverance. “When the ... reader who lives in the Pacific Northwest with her husband, daughter, two dogs, and ... couldn’t be more grateful. , Twelve-year old Tizzy could not believe how quickly things ...
Breaking Medicine News(10 mins):
(Date:5/24/2017)... HAMPTON, Va. , May 24, 2017 /PRNewswire/ ... ivWatch Original Equipment Manufacturer (OEM) Board to enable ... technology with patient monitoring systems, infusion pumps and ... products, OEMs will be able to help health ... care and reduced risks related to IV therapy. ...
(Date:5/18/2017)... May 18, 2017  Two Bayer U.S. Pharmaceutical leaders ... during its recent 28 th Woman of ... event showcases HBA,s longstanding mission of furthering the advancement ... Cindy Powell-Steffen , senior director of ... division, and Libby Howe , a regional business ...
(Date:5/12/2017)... Canada joint tech company Laughing Face has developed ... and features a powerful disinfection process. The company has ... and sanitizes women,s panties or babies, cloth diapers in 25 minutes. ... Laughing ... external water inlet. ...
Breaking Medicine Technology: