Literature DB >> 15708162

Before and after resident work hour limitations: an objective assessment of the well-being of surgical residents.

Thomas Stamp1, Paula Termuhlen, Sidney Miller, Dan Nolan, Peter Hutzel, James Gilchrist, R Michael Johnson.   

Abstract

PURPOSE: To assess the impact of resident work hour limitations on how surgical residents feel about their training, patient care, and their overall well-being.
METHODS: Three surveys were administered to 28 categorical surgery residents before and after implementation of the Accreditation Council on Graduate Medical Education (ACGME) work hour restrictions. The surveys consisted of a Beck Depression Inventory II (BDI-II), a SF-36 Health Status Profile (SF-36), and a custom 20-item Likert scale survey. The results of the surveys were then compiled to evaluate any significant changes in resident attitudes.
RESULTS: Only minor differences were noted in the BDI-II and SF-36. The Likert scale survey showed no differences in attitude toward resident education, faculty interaction, operating room exposure, patient care, or continuity. Significant improvements were noted in the feelings of residents toward time for reading, rest, time with family, and socializing.
CONCLUSIONS: Although a great deal of concern has existed about the impact of work hour limitations on surgery resident training, residents feel their training has not been affected significantly. Work hour restrictions have, however, had a positive impact on the lives of surgery residents outside of the hospital.

Entities:  

Mesh:

Year:  2005        PMID: 15708162     DOI: 10.1016/j.cursur.2004.09.013

Source DB:  PubMed          Journal:  Curr Surg        ISSN: 0149-7944


  17 in total

1.  The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

Authors:  Matthew M Hutter; Katherine C Kellogg; Charles M Ferguson; William M Abbott; Andrew L Warshaw
Journal:  Ann Surg       Date:  2006-06       Impact factor: 12.969

Review 2.  An AOA critical issue. Future physician workforce requirements: implications for orthopaedic surgery education.

Authors:  Edward S Salsberg; Atul Grover; Michael A Simon; Steven L Frick; Marshall A Kuremsky; David C Goodman
Journal:  J Bone Joint Surg Am       Date:  2008-05       Impact factor: 5.284

3.  Effects of the restriction of working time for residents: a dutch perspective.

Authors:  Onno T Terpstra; Jantine H Stegeman
Journal:  J Grad Med Educ       Date:  2011-12

4.  The effect of reducing maximum shift lengths to 16 hours on internal medicine interns' educational opportunities.

Authors:  Cecelia N Theobald; Daniel G Stover; Neesha N Choma; Jacob Hathaway; Jennifer K Green; Neeraja B Peterson; Kelly C Sponsler; Eduard E Vasilevskis; Sunil Kripalani; John Sergent; Nancy J Brown; Joshua C Denny
Journal:  Acad Med       Date:  2013-04       Impact factor: 6.893

5.  Duty hour reform in a shifting medical landscape.

Authors:  Anupam B Jena; Vinay Prasad
Journal:  J Gen Intern Med       Date:  2013-09       Impact factor: 5.128

6.  Urology residents on call: Investigating the workload and relevance of calls.

Authors:  Benoît Thériault; Maryse Marceau-Grimard; Anne-Sophie Blais; Vincent Fradet; Katherine Moore; Jonathan Cloutier
Journal:  Can Urol Assoc J       Date:  2017-12-01       Impact factor: 1.862

7.  Worse outcomes for patients undergoing brain tumor and cerebrovascular procedures following the ACGME resident duty-hour restrictions.

Authors:  Ranjith Babu; Steven Thomas; Matthew A Hazzard; Allan H Friedman; John H Sampson; Cory Adamson; Ali R Zomorodi; Michael M Haglund; Chirag G Patil; Maxwell Boakye; Shivanand P Lad
Journal:  J Neurosurg       Date:  2014-06-13       Impact factor: 5.115

Review 8.  Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.

Authors:  Kathlyn E Fletcher; Darcy A Reed; Vineet M Arora
Journal:  J Gen Intern Med       Date:  2011-03-03       Impact factor: 5.128

9.  Impact of protected sleep period for internal medicine interns on overnight call on depression, burnout, and empathy.

Authors:  Judy A Shea; Lisa M Bellini; David F Dinges; Meredith L Curtis; Yuanyuan Tao; Jingsan Zhu; Dylan S Small; Mathias Basner; Laurie Norton; Cristina Novak; C Jessica Dine; Ilene M Rosen; Kevin G Volpp
Journal:  J Grad Med Educ       Date:  2014-06

10.  Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review.

Authors:  Hans-Christoph Pape; Roman Pfeifer
Journal:  Patient Saf Surg       Date:  2009-02-20
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