Literature DB >> 18612748

Effects of resident work hour limitations on faculty professional lives.

Lara Goitein1, Tait D Shanafelt, Avery B Nathens, J Randall Curtis.   

Abstract

BACKGROUND: The Accreditation Council for Graduate Medical Education resident work hour limitations were implemented in July, 2003. Effects on faculty are not well understood.
OBJECTIVE: The objective of this study was to determine the effects of the resident work hour limitations on the professional lives of faculty physicians. DESIGN AND PARTICIPANTS: Survey of faculty physicians at three teaching hospitals associated with university-based internal medicine and surgery residency programs in Seattle, Washington. Physicians who attended on Internal Medicine and Surgery in-patient services during the 10 mo after implementation of work hour limitations were eligible for participation (N = 366); 282 physicians (77%) returned surveys. MEASUREMENTS: Participants were asked about the effects of resident work hour limitations on aspects of their professional lives, including clinical work, research, teaching, and professional satisfaction.
RESULTS: Most attending physicians reported that, because of work hour limitations, they spent more time on clinical work (52%), felt more responsibility for supervising patient care (65%), and spent less time on research or other academic pursuits (51%) and teaching residents (72%). Reported changes in work content were independently associated with the self-reported probability of leaving academic medicine in the next 3 y.
CONCLUSIONS: Resident work hour limitations have had large effects on the professional lives of faculty. These findings may have important implications for recruiting and retaining faculty at academic medical centers.

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Mesh:

Year:  2008        PMID: 18612748      PMCID: PMC2517910          DOI: 10.1007/s11606-008-0540-1

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  18 in total

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Review 2.  Physician response to surveys. A review of the literature.

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Authors:  G R Bergus; C S Randall; M D Winniford; C W Mueller; S R Johnson
Journal:  Acad Med       Date:  2001-11       Impact factor: 6.893

4.  Attitudes of clinical faculty about career progress, career success and recognition, and commitment to academic medicine. Results of a survey.

Authors:  L M Buckley; K Sanders; M Shih; C L Hampton
Journal:  Arch Intern Med       Date:  2000-09-25

5.  Physicians' perceptions of institutional and leadership factors influencing their job satisfaction at one academic medical center.

Authors:  Todd L Demmy; Coleen Kivlahan; Tamara T Stone; Lynn Teague; Pam Sapienza
Journal:  Acad Med       Date:  2002-12       Impact factor: 6.893

6.  Physician job satisfaction, dissatisfaction, and turnover.

Authors:  Donald E Pathman; Thomas R Konrad; Eric S Williams; William E Scheckler; Mark Linzer; Jeff Douglas
Journal:  J Fam Pract       Date:  2002-07       Impact factor: 0.493

7.  Duty hours for resident physicians--tough choices for teaching hospitals.

Authors:  Debra F Weinstein
Journal:  N Engl J Med       Date:  2002-10-17       Impact factor: 91.245

Review 8.  Effects of work hour reduction on residents' lives: a systematic review.

Authors:  Kathlyn E Fletcher; Willie Underwood; Steven Q Davis; Rajesh S Mangrulkar; Laurence F McMahon; Sanjay Saint
Journal:  JAMA       Date:  2005-09-07       Impact factor: 56.272

9.  The impact of the changing health care environment on the health and well-being of faculty at four medical schools.

Authors:  Barbara A Schindler; Dennis H Novack; Diane G Cohen; Joel Yager; Dora Wang; Nicholas J Shaheen; Phyllis Guze; LuAnn Wilkerson; Douglas A Drossman
Journal:  Acad Med       Date:  2006-01       Impact factor: 6.893

10.  Impact of resident duty-hour reform on faculty clinical productivity.

Authors:  Mary E Klingensmith; Emily R Winslow; Barton H Hamilton; Bruce L Hall
Journal:  Curr Surg       Date:  2006 Jan-Feb
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  9 in total

1.  Navigating the JGIM Special Issue on Medical Education.

Authors:  Judith L Bowen; David A Cook; Martha Gerrity; Adina L Kalet; Jennifer R Kogan; Anderson Spickard; Diane B Wayne
Journal:  J Gen Intern Med       Date:  2008-07       Impact factor: 5.128

2.  Alleviating emotional exhaustion in oncology nurses: an evaluation of Wellspring's "Care for the Professional Caregiver Program".

Authors:  Claire Edmonds; Gina M Lockwood; Andrea Bezjak; Joyce Nyhof-Young
Journal:  J Cancer Educ       Date:  2012-03       Impact factor: 2.037

3.  Factors associated with non-compliance during 16-hour long call shifts.

Authors:  Jed Gonzalo; Shoshana Herzig; Eileen Reynolds; Julius Yang
Journal:  J Gen Intern Med       Date:  2012-04-13       Impact factor: 5.128

4.  Contrasting Residency Training in Japan and the United States From Perspectives of Japanese Physicians Trained in Both Systems.

Authors:  Brian S Heist; Haruka Matsubara Torok
Journal:  J Grad Med Educ       Date:  2019-08

Review 5.  Duty hour restrictions: organizational dynamics, systems issues, and the impact on faculty.

Authors:  Glen Bandiera; Melissa Kennedy Hynes; Salvatore M Spadafora
Journal:  BMC Med Educ       Date:  2014-12-11       Impact factor: 2.463

6.  Implementation of a resident night float system in a surgery department in Korea for 6 months: electronic medical record-based big data analysis and medical staff survey.

Authors:  Hyeong Won Yu; June Young Choi; Young Suk Park; Hyung Sub Park; YoungRok Choi; Sang-Hoon Ahn; Eunyoung Kang; Heung-Kwon Oh; Eun-Kyu Kim; Jai Young Cho; Duck-Woo Kim; Do Joong Park; Yoo-Seok Yoon; Sung Bum Kang; Hyung-Ho Kim; Ho-Seong Han; Taeseung Lee
Journal:  Ann Surg Treat Res       Date:  2019-04-24       Impact factor: 1.859

Review 7.  Racial/Ethnic Differences in Burnout: a Systematic Review.

Authors:  Jourdyn A Lawrence; Brigette A Davis; Thea Corbette; Emorcia V Hill; David R Williams; Joan Y Reede
Journal:  J Racial Ethn Health Disparities       Date:  2021-01-11

8.  Resident duty hours and the delicate balance between education and patient care.

Authors:  Diane B Wayne; Vineet Arora
Journal:  J Gen Intern Med       Date:  2008-07       Impact factor: 5.128

9.  Resident work hours: why keeping the status quo may not be such a bad thing.

Authors:  Roshan Razik; Marat Slessarev
Journal:  Can Med Educ J       Date:  2013-09-30
  9 in total

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