New York Regulation of Residents' Working Conditions

Resident Operative Experience During the Transition to Work-Hour Reform

“…[8][9][10][11][12][13][14][15][16][17][18][19][20][21] This framework considered the development and acquisition of technical skills in relation to work-hour models, as well as principles related to assessment and evaluation that emphasize external variables that may affect learning experiences. The institutional review boards at The College of William and Mary, Williamsburg, Va, and Eastern Virginia Medical School, Norfolk, approved this study.…”

“…Literature pertaining to motor-skill development theory, specifically the principles of repetitive practice and skill transference, and principles of assessment and evaluation were used to design a conceptual framework for this study. [8][9][10][11][12][13][14][15][16][17][18][19][20][21] This framework considered the development and acquisition of technical skills in relation to work-hour models, as well as principles related to assessment and evaluation that emphasize external variables that may affect learning experiences. The institutional review boards at The College of William and Mary, Williamsburg, Va, and Eastern Virginia Medical School, Norfolk, approved this study.…”

Working to Death: The Regulation of Working Hours in Health Care

“…The study concluded that limited working hours were associated with delayed test ordering and increased complication rates, although these did not result in statistically significant differences in more serious outcomes, that is, in‐hospital mortality, transfer to intensive care, discharge disposition, or length of stay. Another study, also in 1989, reported no difference in mortality, morbidity, or unexpected transfers after implementation of the section 405 amendments (Daiger, Welliver and Stapleton 1990). A third study noted reductions in mortality in 1991, but there were reductions in both teaching and nonteaching hospitals suggesting that the new section 405 law could not be responsible (Howard, Silber and Jobes 2004).…”

Work hour rules and contributors to patient care mistakes: A focus group study with internal medicine residents

“…Some residency programs have reported on their experience with hour reductions, giving insight into residents' perceptions on the benefits and drawbacks of such interventions. Residents have reported concern about continuity of care after such interventions 3–7. However, some residents believed they provided better patient care after the interventions to reduce hours 8, 9.…”