A 3-Year Study of Resident Reaction to 2011 ACGME Work Hour Rules in a Family Medicine Residency

Picciano, Anne; Guth, Lauren; Winter, Robin O

doi:10.22454/primer.2018.915876

Cited by 6 publications

(7 citation statements)

References 20 publications

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“… 11 Other studies support that compliance with ACGME duty hours rules achieved a better overall resident QoL. 23 Our study found that the 12-hour on-call system improved the QoL for urology residents, where they found more time for social life, hobbies, reading, and research activities. Residents also reported better rest after the on-call duties.…”

Section: Discussionsupporting

confidence: 62%

Urology Residents’ Perspectives on the In-House On-Call Systems: A Study in an Accredited Academic Center

Khalil

Ibrahim

Aldeeb

et al. 2022

Qatar Medical Journal

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Introduction: Medical education and training are crucial in maintaining patients’ safety and improving patient care quality. Multiple studies have evaluated the effects of restrictive policies on the resident's quality of life and education. Due to the compiling data and the fact that these trials evaluated programs with a substantial number of residents, it remains uncertain whether these conclusions can be extended to urology programs with a small number of residents. Multiple on-call systems have been adopted in residency programs across the world. This study evaluated the residents’ quality of life, clinical experience, and education upon transitioning from 24-hour to 12-hour in-house on-call systems. Methods and materials: In this observational and questionnaire-based study, the effect of the transition from 24-hour to 12-hour in-house on-call systems was compared in terms of the resident's quality of life and education, surgical case volume, and working hours’ rules compliance. Quality of life and education : We adopted a validated survey based on a 5-point Likert scale to assess the residents’ perception of the transition to a 12-hour on-call system on their quality of life and education. Surgical case volume : We extracted the number of cases the residents operated on from the operating theater database at our institution. Working hours: compliance and violations : The weekly working hours, compliance, and violations per ACGME-I rules were collected from the MedHub platform. Results: Quality of life and education: Residents rated the 12-hour on-call system superior in terms of quality of life, education, and surgical case volume. Surgical case volume : There was a 45% increment in the surgical case volume ( p = 0.04) with the 12-hour on-call system. Working hours: compliance and violations There was no significant difference in the mean weekly working hours ( p = 0.1). However, the total number of duty hours violations decreased in the 12-hour on-call system. Conclusion: The 12-hour system is a better alternative to the 24-hour system in terms of the resident's quality of life, education, surgical case volume, and compliance with duty hour rules.

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Section: Discussionsupporting

confidence: 62%

Urology Residents’ Perspectives on the In-House On-Call Systems: A Study in an Accredited Academic Center

Khalil

Ibrahim

Aldeeb

et al. 2022

Qatar Medical Journal

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“…Notably, several studies have been published that suggested that the physician's well-being is lower under the NF model than under standard shifts with one shift every few days [16,17]. Kelly et al [14] also showed that under the NF model, specialized surgeons lose many hours of operating room time than when they have one shift every few days.…”

Section: Night Floatsmentioning

confidence: 99%

Residents’ perspective on duty hours at an Israeli tertiary hospital

Apt

Regev

Shapira

et al. 2022

Isr J Health Policy Res

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Background Specialization in medical professions is considered a challenging and intensive period due to the number and sequence of duty hours. Considering the effect of duty hours on residents, both physically and mentally, several models have been created over the years to address this complexity. The two main model schools aim to decrease the duty hour length and night shift (i.e., night float, NF) frequency. In recent years, duty hours have become a source of disagreement and frustration among the medical community, both residents and attendings. A possible change in the duty hour structure may affect residents in terms of several parameters, such as patient safety, the well-being of the physician and the degree of training of the resident. Purpose (1) To investigate medical residents’ perspectives on their duty hours utilizing online questionnaires on their effect on the work environment and (2) to assess residents’ preferences in relation to the suggested shortened shift and NF models. Methods Questionnaires were emailed to all residents (main residents and fellows) at an Israeli tertiary medical center between March 2020 and April 2020. Questions were scored from 1 (disagree) to 5 (fully agree). Results Two hundred and sixty residents (227 main residents, 43 fellows) participated in the study (40% female). The score for the degree of balance between work and personal life was low (0.9±1.99). The shortened shift model was perceived by the residents as more compatible with a balanced lifestyle than the NF model (3.77 ± 1.20 and 3.14 ± 1.26, respectively, P < 0.0001). Neither model was considered to risk impairing professional training (2.33 ± 1.45 and 2.47 ± 1.25, respectively, P = 0.12). Overall, 74% of the residents were not willing to lower their income if the decision were made to change models, and 56% were not willing to increase the number of shifts. Conclusions There is agreement among residents that shortening shift hours to 16 h would have a positive effect on the balance between personal life and work. In the eyes of residents, the change would not impair their training during residency.

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“…The research design for this study is a descriptive analysis. Descriptive research is useful when it is impossible to test and measure the large number of samples needed for more quantitative types of experimentation (Picciano, 2004). The qualitative nature of the content analysis is supported by in-depth interviews with academic teachers and by the surveys conducted among the students and doctoral students.…”

Section: Methodsmentioning

confidence: 99%

Digital Exclusion in Poland and South Korea - A Comparative Analysis of the Phenomenon

Juszczyk¹,

Kim²

2022

TNER

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A 3-Year Study of Resident Reaction to 2011 ACGME Work Hour Rules in a Family Medicine Residency

Cited by 6 publications

References 20 publications

Urology Residents’ Perspectives on the In-House On-Call Systems: A Study in an Accredited Academic Center

Urology Residents’ Perspectives on the In-House On-Call Systems: A Study in an Accredited Academic Center

Residents’ perspective on duty hours at an Israeli tertiary hospital

Digital Exclusion in Poland and South Korea - A Comparative Analysis of the Phenomenon

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