Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Study finds limiting work hours for surgical residents enhances training

19.09.2007
Although work-hour restrictions may improve well-being of residents, it may make the job harder for faculty members

Contrary to concerns that restricting work hours for surgical residents negatively affects the quality of patient care or the residents’ education, a study in the September issue of the Journal of the American College of Surgeons found that limiting work hours does not compromise education or the quality of care. In addition, the study found that the new model improved overall teaching effectiveness and increased the amount of operating room experience that residents receive.

However, researchers concluded that duty-hour restrictions could amplify job dissatisfaction and work hours among faculty and necessitate an increase in physician assistant and nurse staffing.

Four years ago, the Accreditation Council for Graduate Medical Education (ACGME) mandated the “Common Duty Hours Standard,” which required a dramatic redesign of the country's resident training programs. Among the key requirements were to limit resident work hours to no more than 80 hours per week averaged over a four-week period, restrict shifts to 30 hours, and permit at least a 10-hour rest period in between shifts. As a result of the mandate, many surgical educators were prompted to rethink their programs' organizational structures to adhere to the new requirements.

"These findings cannot be ignored. In this environment, limits on duty hours require us to reorganize our residency programs to promote high-quality education, safe patient care, and resident well-being and to carefully monitor the results of this reorganization to be sure that all of these requirements are being satisfied," Joseph R. Schneider, MD, FACS and lead author of the study, said.

The study, “Implementation and Evaluation of a New Surgical Residency Model,” which was conducted by the department of surgery at the Northwestern University Feinberg School of Medicine, involved the four core hospitals that make up the school's McGaw Medical Center. This new model included a mixture of apprenticeship, small team, and night-float models. The study evaluated the impact of their reengineered residency program and scheduling structure.

According to rotation evaluation forms completed by residents, the new program improved resident satisfaction with the quality of the teaching they received on rounds, in conferences, in the clinic and in the operating room. In addition, residents were more satisfied that they met the objectives of their rotations. The study also addressed a widespread concern that shortened resident hours would negatively affect patient care and patient outcomes. The authors found no evidence for deterioration in any patient outcome measures. In fact, continuity of care actually improved and residents were more likely to see patients after the operation as a result of the new system.

“Although duty-hour restrictions did not cause a deterioration of surgical residents' educational experience, these restrictions have the potential to produce new challenges,” added Dr. Schneider. “Faculty surveys showed perceived increases in work hours and job dissatisfaction after implementation of the new program structure. Also, 10 new physician assistant and nurse positions were hired as a result of the duty-hour restrictions.” The department of surgery at the Northwestern University Feinberg School of Medicine implemented a new residency program structure on July 1, 2003, to include a mixture of apprenticeship, small team, and night-float models. Before this change was made, the residency program used the traditional team-based approach with call being taken every third or fourth night, depending on the rotation. This study describes the organization of the new program structure and subsequent evaluation findings from measures taken over three years, beginning one year before, and completed two years after, the program implementation.

Sally Garneski | EurekAlert!
Further information:
http://www.facs.org
http://www.facs.org/education/rap/foreword.html

More articles from Studies and Analyses:

nachricht New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)

nachricht Reusable carbon nanotubes could be the water filter of the future, says RIT study
30.03.2017 | Rochester Institute of Technology

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Making lightweight construction suitable for series production

More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.

Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...

Im Focus: Wonder material? Novel nanotube structure strengthens thin films for flexible electronics

Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.

"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...

Im Focus: Deep inside Galaxy M87

The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.

Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...

Im Focus: A Quantum Low Pass for Photons

Physicists in Garching observe novel quantum effect that limits the number of emitted photons.

The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...

Im Focus: Microprocessors based on a layer of just three atoms

Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.

Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Fighting drug resistant tuberculosis – InfectoGnostics meets MYCO-NET² partners in Peru

28.04.2017 | Event News

Expert meeting “Health Business Connect” will connect international medical technology companies

20.04.2017 | Event News

Wenn der Computer das Gehirn austrickst

18.04.2017 | Event News

 
Latest News

Wireless power can drive tiny electronic devices in the GI tract

28.04.2017 | Medical Engineering

Ice cave in Transylvania yields window into region's past

28.04.2017 | Earth Sciences

Nose2Brain – Better Therapy for Multiple Sclerosis

28.04.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>