OBJECTIVE: We compared the operative experience of chief residents at the Michigan State University Integrated Residency Program in General Surgery before and after duty-hour restrictions mandated by the Accreditation Council for Graduate Medical Education. SUMMARY BACKGROUND DATA: Conflicting evidence exists regarding the influence of duty-hour restrictions upon resident operative experience. METHODS: Resident self-reported operative experience submitted to the Residency Review Committee (RRC) for Surgery was tabulated. To control for a possible overall decrease in surgical procedures, for example, a decrease in referrals to the institution, the departmental database of surgical billings that is maintained independently from resident operative experience data also was reviewed. RESULTS: An overall decrease of nearly 20% occurred in resident operative volume after promulgation of duty-hour restrictions. All residents met minimum RRC operative experience requirements. Over the same period, no decrease was found in the number surgical procedures performed by the department. CONCLUSIONS: Our data suggest that restriction of resident duty hours is associated with a significant decrease in operative experience.
OBJECTIVE: We compared the operative experience of chief residents at the Michigan State University Integrated Residency Program in General Surgery before and after duty-hour restrictions mandated by the Accreditation Council for Graduate Medical Education. SUMMARY BACKGROUND DATA: Conflicting evidence exists regarding the influence of duty-hour restrictions upon resident operative experience. METHODS: Resident self-reported operative experience submitted to the Residency Review Committee (RRC) for Surgery was tabulated. To control for a possible overall decrease in surgical procedures, for example, a decrease in referrals to the institution, the departmental database of surgical billings that is maintained independently from resident operative experience data also was reviewed. RESULTS: An overall decrease of nearly 20% occurred in resident operative volume after promulgation of duty-hour restrictions. All residents met minimum RRC operative experience requirements. Over the same period, no decrease was found in the number surgical procedures performed by the department. CONCLUSIONS: Our data suggest that restriction of resident duty hours is associated with a significant decrease in operative experience.
Authors: Paul Kolkman; Mohsin Soliman; Marcy Kolkman; Apollo Stack; T Subramanyeshwar Rao; Srinivasulu Mukta; Kendra Schmid; Jon Thompson; Chandrakanth Are Journal: Indian J Surg Oncol Date: 2015-03-18
Authors: Jose Quezada; Pablo Achurra; Cristian Jarry; Domenech Asbun; Rodrigo Tejos; Martín Inzunza; Gabriel Ulloa; Andres Neyem; Carlos Martínez; Carlo Marino; Gabriel Escalona; Julian Varas Journal: Surg Endosc Date: 2019-07-30 Impact factor: 4.584