BACKGROUND: The Accreditation Council for Graduate Medical Education work-hour limitations (WHLs) were implemented in July 2003. Effects on resident well-being, patient care, and education are not well understood. We investigated these effects of WHLs. METHODS: Self-administered survey of internal medicine residents in a university-based residency program in Seattle, Wash. Part of this survey was identical to one completed at our institution in 2001, permitting comparison of burnout, career satisfaction, and depression before and after WHLs. We surveyed 161 internal medicine residents, with 118 respondents (response rate, 73%). We measured resident well-being using the Maslach Burnout Inventory, a validated screening questionnaire for depression, and a previously described questionnaire for career satisfaction. We developed questions about overall agreement with implementation of WHLs and effects on resident well-being, patient care, and education. RESULTS: Comparison with the 2001 survey demonstrated an increase in the proportion of residents satisfied with their career (66% to 80%; P = .02) and a decrease in the proportion meeting criteria for emotional exhaustion (53% to 40%; P = .05). Slightly more residents reported a negative effect of WHLs on patient care (37%) than they did a positive (29%) or a neutral (34%) effect, and more reported a negative effect on their education (47%) than they did a positive (32%) or a neutral (21%) effect. Overall, most residents (65%) approved of WHLs. CONCLUSIONS: Internal medicine residents approve of WHLs overall and report benefits to their well-being. However, they also report negative effects on patient care and resident education.
BACKGROUND: The Accreditation Council for Graduate Medical Education work-hour limitations (WHLs) were implemented in July 2003. Effects on resident well-being, patient care, and education are not well understood. We investigated these effects of WHLs. METHODS: Self-administered survey of internal medicine residents in a university-based residency program in Seattle, Wash. Part of this survey was identical to one completed at our institution in 2001, permitting comparison of burnout, career satisfaction, and depression before and after WHLs. We surveyed 161 internal medicine residents, with 118 respondents (response rate, 73%). We measured resident well-being using the Maslach Burnout Inventory, a validated screening questionnaire for depression, and a previously described questionnaire for career satisfaction. We developed questions about overall agreement with implementation of WHLs and effects on resident well-being, patient care, and education. RESULTS: Comparison with the 2001 survey demonstrated an increase in the proportion of residents satisfied with their career (66% to 80%; P = .02) and a decrease in the proportion meeting criteria for emotional exhaustion (53% to 40%; P = .05). Slightly more residents reported a negative effect of WHLs on patient care (37%) than they did a positive (29%) or a neutral (34%) effect, and more reported a negative effect on their education (47%) than they did a positive (32%) or a neutral (21%) effect. Overall, most residents (65%) approved of WHLs. CONCLUSIONS: Internal medicine residents approve of WHLs overall and report benefits to their well-being. However, they also report negative effects on patient care and resident education.
Authors: Waguih William Ishak; Sara Lederer; Carla Mandili; Rose Nikravesh; Laurie Seligman; Monisha Vasa; Dotun Ogunyemi; Carol A Bernstein Journal: J Grad Med Educ Date: 2009-12
Authors: Flavia Arigoni; Patrick A Bovier; Bernadette Mermillod; Patricia Waltz; André-Pascal Sappino Journal: Support Care Cancer Date: 2008-06-05 Impact factor: 3.603
Authors: Jennifer R Kogan; Judy A Shea; Elizabeth O'Grady; Lisa M Bellini; Frank Ciminiello Journal: J Gen Intern Med Date: 2010-03-13 Impact factor: 5.128
Authors: Anthony L Back; Robert M Arnold; Walter F Baile; James A Tulsky; Gwyn E Barley; Roy D Pea; Kelly A Fryer-Edwards Journal: J Clin Oncol Date: 2009-01-26 Impact factor: 44.544
Authors: Senem Demirci; Yasemin Kuzeyli Yildirim; Zeynep Ozsaran; Ruchan Uslu; Deniz Yalman; Arif B Aras Journal: Med Oncol Date: 2009-09-26 Impact factor: 3.064