Literature DB >> 21975978

Impact of proposed institute of medicine duty hours: family medicine residency directors' perspective.

Peter J Carek, Joseph W Gravel, Stanley Kozakowski, Perry A Pugno, Gerald Fetter, Elissa J Palmer.   

Abstract

PURPOSE: To examine the opinions of family medicine residency program directors concerning the potential impact of the Institute of Medicine (IOM) resident duty hour recommendations on patient care and resident education.
METHODS: A survey was mailed to 455 family medicine residency program directors. Data were summarized and analyzed using Epi Info statistical software. Significance was set at the P < .01 level.
RESULTS: A total of 265 surveys were completed (60.9% response rate). A majority of family medicine residency program directors disagreed or strongly disagreed that the recent IOM duty hour recommendations will, in general, result in improved patient safety and resident education. Further, a majority of respondents disagreed or strongly disagreed that the proposed IOM rules would result in residents becoming more compassionate, more effective family physicians.
CONCLUSION: A majority of family medicine residency program directors believe that the proposed IOM duty hour recommendations would have a primarily detrimental effect on both patient care and resident education.

Entities:  

Year:  2009        PMID: 21975978      PMCID: PMC2931254          DOI: 10.4300/JGME-D-09-00003.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  13 in total

Review 1.  Systematic review: effects of resident work hours on patient safety.

Authors:  Kathlyn E Fletcher; Steven Q Davis; Willie Underwood; Rajesh S Mangrulkar; Laurence F McMahon; Sanjay Saint
Journal:  Ann Intern Med       Date:  2004-12-07       Impact factor: 25.391

2.  Quality of care in teaching hospitals: a literature review.

Authors:  Joel Kupersmith
Journal:  Acad Med       Date:  2005-05       Impact factor: 6.893

Review 3.  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

4.  Effect of reducing interns' weekly work hours on sleep and attentional failures.

Authors:  Steven W Lockley; John W Cronin; Erin E Evans; Brian E Cade; Clark J Lee; Christopher P Landrigan; Jeffrey M Rothschild; Joel T Katz; Craig M Lilly; Peter H Stone; Daniel Aeschbach; Charles A Czeisler
Journal:  N Engl J Med       Date:  2004-10-28       Impact factor: 91.245

5.  Residents report on adverse events and their causes.

Authors:  Reshma Jagsi; Barrett T Kitch; Debra F Weinstein; Eric G Campbell; Matthew Hutter; Joel S Weissman
Journal:  Arch Intern Med       Date:  2005 Dec 12-26

6.  Extended work shifts and the risk of motor vehicle crashes among interns.

Authors:  Laura K Barger; Brian E Cade; Najib T Ayas; John W Cronin; Bernard Rosner; Frank E Speizer; Charles A Czeisler
Journal:  N Engl J Med       Date:  2005-01-13       Impact factor: 91.245

7.  Effect of reducing interns' work hours on serious medical errors in intensive care units.

Authors:  Christopher P Landrigan; Jeffrey M Rothschild; John W Cronin; Rainu Kaushal; Elisabeth Burdick; Joel T Katz; Craig M Lilly; Peter H Stone; Steven W Lockley; David W Bates; Charles A Czeisler
Journal:  N Engl J Med       Date:  2004-10-28       Impact factor: 91.245

8.  Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safety.

Authors:  Christopher P Landrigan; Amy M Fahrenkopf; Daniel Lewin; Paul J Sharek; Laura K Barger; Melanie Eisner; Sarah Edwards; Vincent W Chiang; Bernhard L Wiedermann; Theodore C Sectish
Journal:  Pediatrics       Date:  2008-08       Impact factor: 7.124

9.  U.S. citizens who obtain their medical degrees abroad: an overview, 1992-2006.

Authors:  John R Boulet; Richard A Cooper; Stephen S Seeling; John J Norcini; Danette W McKinley
Journal:  Health Aff (Millwood)       Date:  2009 Jan-Feb       Impact factor: 6.301

10.  Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform.

Authors:  Kevin G Volpp; Amy K Rosen; Paul R Rosenbaum; Patrick S Romano; Orit Even-Shoshan; Anne Canamucio; Lisa Bellini; Tiffany Behringer; Jeffrey H Silber
Journal:  JAMA       Date:  2007-09-05       Impact factor: 56.272

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  3 in total

1.  Implications of the 2011 ACGME duty hour rules.

Authors:  Joseph Gravel; Stoney Abercrombie; Sneha Chacko; Karen Hall; Grant Hoekzema; Lisa Maxwell; Michael Mazzone; Todd Shaffer; Michael Tuggy; Martin Wieschhaus
Journal:  Ann Fam Med       Date:  2011 Nov-Dec       Impact factor: 5.166

2.  Resident burnout: working hours or working conditions?

Authors:  Kenneth M Ludmerer
Journal:  J Grad Med Educ       Date:  2009-12

3.  Recent family medicine residency graduates' perceptions of resident duty hour restrictions.

Authors:  Lars E Peterson; Vanessa Diaz; Lori M Dickerson; Marty S Player; Peter J Carek
Journal:  J Grad Med Educ       Date:  2013-03
  3 in total

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