Nader Zamani1, Sara C Fallon2, Allyson Bremer3, Eric J Silberfein4, Todd K Rosengart5, Bradford G Scott6. 1. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, 77030-3411, USA. Electronic address: zamani@bcm.edu. 2. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, 77030-3411, USA. Electronic address: scchildr@bcm.edu. 3. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, 77030-3411, USA. Electronic address: allyson.bremer@bcm.edu. 4. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, 77030-3411, USA. Electronic address: ejs@bcm.edu. 5. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, 77030-3411, USA. Electronic address: todd.rosengart@bcm.edu. 6. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, 77030-3411, USA. Electronic address: bgscott@bcm.edu.
Abstract
BACKGROUND: Implementation of resident duty hour policies has resulted in a need to document work hours accurately. We compared the number of self-reported duty hour violations identified through an anonymous, resident-administered survey to that obtained from a standardized, ACGME-sanctioned electronic tracking system. METHODS: 10 cross-sectional surveys were administered to general surgery residents over five years. A resident representative collected and de-identified the data. RESULTS: A median of 54 residents (52% male) participated per cohort. 429 responses were received (79% response rate). 111 violations were reported through the survey, while the standardized electronic system identified 76, a trend significantly associated with PGY-level (p < 0.001) and driven by first-year residents (n = 81 versus 37, p = 0.001). CONCLUSIONS: An anonymous, resident-run mechanism identifies significantly more self-reported violations than a standardized electronic tracking system alone. This argues for individual program evaluation of duty hour tracking mechanisms to correct systematic issues that could otherwise lead to repeated violations.
BACKGROUND: Implementation of resident duty hour policies has resulted in a need to document work hours accurately. We compared the number of self-reported duty hour violations identified through an anonymous, resident-administered survey to that obtained from a standardized, ACGME-sanctioned electronic tracking system. METHODS: 10 cross-sectional surveys were administered to general surgery residents over five years. A resident representative collected and de-identified the data. RESULTS: A median of 54 residents (52% male) participated per cohort. 429 responses were received (79% response rate). 111 violations were reported through the survey, while the standardized electronic system identified 76, a trend significantly associated with PGY-level (p < 0.001) and driven by first-year residents (n = 81 versus 37, p = 0.001). CONCLUSIONS: An anonymous, resident-run mechanism identifies significantly more self-reported violations than a standardized electronic tracking system alone. This argues for individual program evaluation of duty hour tracking mechanisms to correct systematic issues that could otherwise lead to repeated violations.
Authors: Joseph A Lin; Logan Pierce; Sara G Murray; Hossein Soleimani; Elizabeth C Wick; Julie Ann Sosa; Kenzo Hirose Journal: J Surg Educ Date: 2021-09-08 Impact factor: 3.524