Majority of surgical residents object to regulated hours

May 16, 2013
Majority of surgical residents object to regulated hours
About 65 percent of surgical residents report that they disapprove of the 2011 Accreditation Council for Graduate Medical Education Common Program requirements, which place restrictions on duty hours, according to research published in the May issue of JAMA Surgery.

(HealthDay)—About 65 percent of surgical residents report that they disapprove of the 2011 Accreditation Council for Graduate Medical Education (ACGME) Common Program requirements, which place restrictions on duty hours, according to research published in the May issue of JAMA Surgery.

Brian C. Drolet, M.D., of The Warren Alpert Medical School of Brown University in Providence, R.I., and colleagues analyzed data for a subset of 1,013 residents in or surgical subspecialties from a sample of 6,202 residents who filled out a 20-question electronic survey six months after the 2011 ACGME regulations were implemented.

The researchers found that a majority of perceived that the regulations decreased the quality of education (55.1 percent) and preparation for senior roles (68.4 percent). Residents reported no change in availability of supervision (80.8 percent), amount of rest (57.8 percent), or safety of patient care (53.4 percent). Although residents thought the quality of life was improved for interns (61.9 percent), more than half believed it was worsened for senior residents (54.4 percent), and many felt that the regulations increased hand-offs in patient care (78.2 percent) and shifted responsibilities from junior to senior residents (68.7 percent). Noncompliance with the regulations and of duty hours were reported by 67.6 and 62.1 percent of surgical residents, respectively.

"In conclusion, our survey, performed after the implementation of the 2011 ACGME Common Program requirements, showed that three of five surgical residents disapprove of these regulations," the authors write. "Residents believe that the intended improvements in , resident quality of life, and education have not been borne out after implementation of the changes."

Explore further: Report discusses impact of ACGME 2011 requirements

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Report discusses impact of ACGME 2011 requirements

February 21, 2013
(HealthDay)—Although many residency program directors approve of individual components within the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements introduced in 2011, less than half ...

Survey finds surgical interns concerned about training duty-hour restrictions

June 18, 2012
A survey of surgical interns suggests many of them believe that new duty-hour restrictions will decrease continuity with patients, coordination of care and time spent operating, as well as reduce their acquisition of medical ...

Recommended for you

Drug may help surgical patients stop opioids sooner

December 13, 2017
(HealthDay)—Opioid painkillers after surgery can be the first step toward addiction for some patients. But a common drug might cut the amount of narcotics that patients need, a new study finds.

Children best placed to explain facts of surgery to patients, say experts

December 13, 2017
Getting children to design patient information leaflets may improve patient understanding before they have surgery, finds an article in the Christmas issue of The BMJ.

Burn victim saved by skin grafts from identical twin (Update)

November 23, 2017
A man doomed to die after suffering burns across 95 percent of his body was saved by skin transplants from his identical twin in a world-first operation, French doctors said Thursday.

Is a common shoulder surgery useless?

November 21, 2017
(HealthDay)—New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain.

Study shows electric bandages can fight biofilm infection, antimicrobial resistance

November 6, 2017
Researchers at The Ohio State University Wexner Medical Center have shown - for the first time - that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic ...

Obesity increases incidence, severity, costs of knee dislocations

November 3, 2017
A new study of more than 19,000 knee dislocation cases in the U.S. between 2000 and 2012 provides a painful indication of how the nation's obesity epidemic is changing the risk, severity and cost of a traumatic injury.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.