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:12/4/2016)... ... December 04, 2016 , ... Are You Concerned About Mold In Your Home ... Indoor Air Quality Companies in VA, MD and DC, recently completed its application for ... new mold law in the district of Columbia is a good thing stated John ...
(Date:12/2/2016)... ... December 02, 2016 , ... Halfway through its partnership with ... preventative dental services to more than 15,900 children 5 years old and younger and ... $38 million over a span of five years to Western University of Health Sciences, ...
(Date:12/2/2016)... ... , ... Two years ago, Arizona State University students produced ... 1 million viewers and won numerous honors, including the region’s top Emmy and ... Cronkite School of Journalism and Mass Communication are following up their award-winning investigation ...
(Date:12/2/2016)... Los Angeles, CA (PRWEB) , ... December 02, 2016 , ... For over twenty-four years, ... a lien basis to help personal injury victims find high quality medical care. When ... the Los Angeles area. Fast forward to present day and the now ten-page directory ...
(Date:12/2/2016)... ... , ... Advanced Inc., a leading provider of travel therapy and travel nursing ... as Advanced Inc.’s Chief Financial Officer, effective December 1, 2016. Jason previously served as ... operational leadership experience to Advanced Inc. He began his career in finance at Ernst ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... 2016 Orthopedic Implants (Including Spinal Implants, ... to Gain a Significant Market Share Owing to a Large ... ... According to a new report by Persistence ... Packaging: Clamshell Product Type Segment Projected to Witness a Significantly ...
(Date:12/2/2016)... YORK , December 2, 2016 ... 5,251.11, down 1.36%; the Dow Jones Industrial Average edged 0.36% ... at 2,191.08, down 0.35%. Losses were broad based as six ... Stock-Callers.com has initiated research reports on the following Services equities: ... (NASDAQ: QGEN ), INC Research Holdings Inc. (NASDAQ: ...
(Date:12/2/2016)... , Dec. 1, 2016 Around the ... country, region and each habitable land present over earth. ... every individual once in a life time this is ... care available until now. Given the steady increase in ... together with the spiraling healthcare costs of treatment, there ...
Breaking Medicine Technology: