Literature DB >> 27777667

The Relationship Between ACGME Duty Hour Requirements and Performance on the American Board of Emergency Medicine Qualifying Examination.

Francis L Counselman, Terry Kowalenko, Catherine A Marco, Kevin B Joldersma, Robert C Korte, Earl J Reisdorff.   

Abstract

BACKGROUND: In 2003, the Accreditation Council for Graduate Medical Education (ACGME) instituted requirements that limited the number of hours residents could spend on duty, and in 2011, it revised these requirements.
OBJECTIVE: This study explored whether the implementation of the 2003 and 2011 duty hour limits was associated with a change in emergency medicine residents' performance on the American Board of Emergency Medicine (ABEM) Qualifying Examination (QE).
METHODS: Beginning with the 1999 QE and ending with the 2014 QE, candidates for whom all training occurred without duty hour requirements (Group A), candidates under the first set of duty hour requirements (Group C), and candidates under the second set of duty hour requirements (Group E) were compared. Comparisons included mean scores and pass rates.
RESULTS: In Group A, 5690 candidates completed the examination, with a mean score of 82.8 and a 90.2% pass rate. In Group C, 8333 candidates had a mean score of 82.4 and a 90.5% pass rate. In Group E, there were 1269 candidates, with a mean score of 82.5 and an 89.4% pass rate. There was a small but statistically significant decrease in the mean scores (0.04, P < .001) after implementation of the first duty hour requirements, but this difference did not occur after implementation of the 2011 standards. There was no difference among pass rates for any of the study groups (χ2 = 1.68, P = .43).
CONCLUSIONS: We did not identify an association between the 2003 and 2011 ACGME duty hour requirements and performance of test takers on the ABEM QE.

Entities:  

Mesh:

Year:  2016        PMID: 27777667      PMCID: PMC5058589          DOI: 10.4300/JGME-D-15-00591.1

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


  15 in total

1.  The American Board of Surgery Certifying Examination: a retrospective study of the decreasing pass rates and performance for first-time examinees.

Authors:  John L Falcone; Giselle G Hamad
Journal:  J Surg Educ       Date:  2011-08-24       Impact factor: 2.891

2.  Delaying the American Board of Emergency Medicine qualifying examination is associated with poorer performance.

Authors:  Catherine A Marco; Francis L Counselman; Robert C Korte; Robert G Purosky; Cameron Thomas Whitley; Earl J Reisdorff
Journal:  Acad Emerg Med       Date:  2014-06       Impact factor: 3.451

3.  Emergency physicians maintain performance on the American Board of Emergency Medicine Continuous Certification (ConCert) examination.

Authors:  Catherine A Marco; Francis L Counselman; Robert C Korte; Chad M Russ; Cameron T Whitley; Earl J Reisdorff
Journal:  Acad Emerg Med       Date:  2014-05       Impact factor: 3.451

4.  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 5.  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

6.  Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 institute of medicine resident duty hours recommendations.

Authors:  Mary Jo Wagner; Stephen Wolf; Susan Promes; Doug McGee; Cheri Hobgood; Christopher Doty; Mara Ann McErlean; Alan Janssen; Rebecca Smith-Coggins; Louis Ling; Amal Mattu; Stephen Tantama; Michael Beeson; Thomas Brabson; Greg Christiansen; Brent King; Emily Luerssen; Robert Muelleman
Journal:  Acad Emerg Med       Date:  2010-09       Impact factor: 3.451

7.  Has the 80-hour workweek improved surgical resident education in New England?

Authors:  Erica B Sneider; Anne C Larkin; Shimul A Shah
Journal:  J Surg Educ       Date:  2009 May-Jun       Impact factor: 2.891

8.  Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.

Authors:  Jay Jagannathan; G Edward Vates; Nader Pouratian; Jason P Sheehan; James Patrie; M Sean Grady; John A Jane
Journal:  J Neurosurg       Date:  2009-05       Impact factor: 5.115

Review 9.  The Effect of Restricting Residents' Duty Hours on Patient Safety, Resident Well-Being, and Resident Education: An Updated Systematic Review.

Authors:  Lauren Bolster; Liam Rourke
Journal:  J Grad Med Educ       Date:  2015-09

10.  Assessing the effects of the 2003 resident duty hours reform on internal medicine board scores.

Authors:  Jeffrey H Silber; Patrick S Romano; Kamal M F Itani; Amy K Rosen; Dylan Small; Rebecca S Lipner; Charles L Bosk; Yanli Wang; Michael J Halenar; Sophia Korovaichuk; Orit Even-Shoshan; Kevin G Volpp
Journal:  Acad Med       Date:  2014-04       Impact factor: 6.893

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  1 in total

1.  Critical Appraisal of Emergency Medicine Educational Research: The Best Publications of 2016.

Authors:  Nicole M Dubosh; Jaime Jordan; Lalena M Yarris; Edward Ullman; Joshua Kornegay; Daniel Runde; Amy Miller Juve; Jonathan Fisher
Journal:  AEM Educ Train       Date:  2018-12-14
  1 in total

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