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. 2012 Jul;87(7):895-903.
doi: 10.1097/ACM.0b013e3182584118.

Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors

Judy A Shea  1 , Lisa L Willett, Karen R Borman, Kamal M F Itani, Furman S McDonald, Stephanie A Call, Saima Chaudhry, Michael Adams, Karen M Chacko, Kevin G Volpp, Vineet M Arora
Affiliations

Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors

Judy A Shea et al. Acad Med. 2012 Jul.

Abstract

Purpose: To assess internal medicine (IM) and surgery program directors' views of the likely effects of the 2011 Accreditation Council for Graduate Medical Education duty hours regulations.

Method: In fall 2010, investigators surveyed IM and surgery program directors, assessing their views of the likely impact of the 2011 duty hours standards on learning environment, workload, education opportunities, program administration, and patient outcomes.

Results: Of 381 IM program directors, 287 (75.3%) responded; of 225 surgery program directors, 118 (52.4%) responded. Significantly more surgeons than internists indicated that the new regulations would likely negatively impact learning climate, including faculty morale and residents' relationships (P < .001). Most leaders in both specialties (80.8% IM, 80.2% surgery) felt that the regulations would likely increase faculty workload (P = .73). Both IM (82.2%) and surgery (96.6%) leaders most often rated, of all education opportunities, first-year resident clinical experience to be adversely affected (P < .001). Respondents from both specialties indicated that they will hire more nonphysician/midlevel providers (59.5% IM, 89.0% surgery, P < .001) and use more nonteaching services (66.8% IM, 70.1% surgery, P = .81). Respondents expect patient safety (45.1% IM, 76.9% surgery, P < .001) and continuity of care (83.6% IM across all training levels, 97.5% surgery regarding first-year residents) to decrease.

Conclusions: IM and surgery program directors agree that the 2011 duty hours regulations will likely negatively affect the quality of the learning environment, workload, education opportunities, program administration, and patient outcomes. Careful evaluation of actual impact is important.

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References

    1. Nasca TJ, Day SH, Amis ES, Jr., the Accreditation Council for Graduate Medical Education (ACGME) Duty Hour Task Force The new recommendations on duty hours from the ACGME task force. N Engl J Med. 2010;363:e3. - PubMed
    1. Ulmer C, Wolman DM, Johns MME, editors. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. National Academies Press; Washington DC: 2009. Institute of Medicine. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. - PubMed
    1. Lieberman JD, Olenwine JA, Finley W, Nicholas GG. Residency reform: Anticipated effects of ACGME guidelines on general surgery and internal medicine residency programs. Current Surgery. 2005;62:231–236. - PubMed
    1. Cull WL, Mulvey HJ, Jewett EA, Zalneraitis EL, Allen CE, Pan RJ. Pediatric residency duty hours before and after limitations. Pediatrics. 2006;118:e1805–e1811. - PubMed
    1. Immerman I, Kubiak EN, Zuckerman JD. Resident work-hour rules: A survey of residents’ and program directors’ opinions and attitudes. Am J Orthop. 2007;36:e172–179. - PubMed

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