Implementing Duty-Hour Restrictions Without Diminishing Patient Care or Education: Can It Be Done?

Abstract

Respondents perceived that this ward call system met ACGME requirements and maintained quality patient care but may have sacrificed some traditional resident education tenets.

Visual Learning: Harnessing Images To Educate Residents Optimally

“…2 However, the current student has been educated mainly through case-based education, and most have grown up in a visual and digital age. Taken together, the HIERO method addresses many of the current challenges in an educational, engaging, and fun manner.…”

“…1,2 However, the technologic advancements in digital imaging provide surgical educators with a wealth of educational resources. [3][4][5][6][7] By harnessing images to educate residents optimally (HIERO), the surgeon can use a timeefficient and effective method for promoting and integrating the learner's knowledge base.…”

Personal Digital Assistants: A Review of Current and Potential Utilization Among Medical Residents

“…29−33 Practicing under a constrained schedule with limited work hours, residents experience difficulties in patient management. 2,34,35 Recent increases in medical and documentation errors on hospital wards may be secondary to duty-hour reform. 2,36 Sixty percent of resident progress notes contain errors in documentation.…”

“…1 As a result, medical residents have limited time to devote to patient management issues and medical inquiry. 2,3 Litigious medicine has increased the demand for accurate patient care documentation, order entry, coding, and billing. Frequently updated clinical practice guidelines and pharmacology practices further challenge residents' daily efficiency and time management skills.…”

Leveraging time and learning style, iPod vs. realtime attendance at a series of medicine residents conferences: a randomised controlled trial

“…4 Recent increases in medical errors in hospitals may result from duty-hour reform as the number of patient handovers between ward teams has dramatically increased since 2003. [5][6][7] Complying with the ACGME duty-hour reform, residents now find attending educational conferences more difficult and perceive the new system as negatively affecting their medical education. [5][6][7][8][9][10] McDonald et al 11 discovered that residents who attended educational conferences on average twice per week experienced a 3.9% increase in their Internal Medicine In-Training Examination (IM-ITE) score.…”