Work hours reform: Perceptions and desires of contemporary surgical residents

Edward E. Whang, Alexander Perez, Hiromichi Ito, Michelle M. Mello, Stanley W. Ashley, Michael J. Zinner

Research output: Contribution to journalReview article

90 Citations (Scopus)

Abstract

BACKGROUND: New Accreditation Council for Graduate Medical Education (ACGME) requirements on resident duty hours are scheduled to undergo nationwide implementation in July 2003. General surgery residents, because of their long duty hours, are likely to be among those most affected by changes imposed to comply with the ACGME requirements. There are few contemporary data on their attitudes toward work hours reform. STUDY DESIGN: The study entailed a region-wide survey of residents enrolled in general surgery residencies in New England to characterize the perceptions and desires of surgical residents on the issue of work hours reform. RESULTS: Respondents reported working a mean of 105 ± 0.7 hours per week, considerably more than the 80-hour limit stipulated by the ACGME. Of the respondents, 81% reported that sleep deprivation had negatively affected their work. A strong majority of respondents believe that work hours reform would improve their quality of life but less than one half expect it to have a positive impact on patient care. A greater percentage of senior residents than junior residents (p < 0.05) have negative perceptions of work hour limitations, particularly with respect to consequences for patient care. Other findings suggest that residents who have actually experienced work hour restrictions are less positive about such restrictions than these residents who had not yet experienced them. CONCLUSIONS: Changes imposed by residency programs to comply with work hour requirements might have detrimental effects on senior residents and patient care. The impact of such changes should be carefully monitored as the ACGME requirements are implemented.

Original languageEnglish (US)
Pages (from-to)624-630
Number of pages7
JournalJournal of the American College of Surgeons
Volume197
Issue number4
DOIs
StatePublished - 2003
Externally publishedYes

Fingerprint

Graduate Medical Education
Accreditation
Patient Care
Internship and Residency
New England
Sleep Deprivation
Quality of Life
Surveys and Questionnaires

ASJC Scopus subject areas

  • Surgery

Cite this

Work hours reform : Perceptions and desires of contemporary surgical residents. / Whang, Edward E.; Perez, Alexander; Ito, Hiromichi; Mello, Michelle M.; Ashley, Stanley W.; Zinner, Michael J.

In: Journal of the American College of Surgeons, Vol. 197, No. 4, 2003, p. 624-630.

Research output: Contribution to journalReview article

Whang, Edward E. ; Perez, Alexander ; Ito, Hiromichi ; Mello, Michelle M. ; Ashley, Stanley W. ; Zinner, Michael J. / Work hours reform : Perceptions and desires of contemporary surgical residents. In: Journal of the American College of Surgeons. 2003 ; Vol. 197, No. 4. pp. 624-630.
@article{1c1d49da36bf4b77a83eaf435081c483,
title = "Work hours reform: Perceptions and desires of contemporary surgical residents",
abstract = "BACKGROUND: New Accreditation Council for Graduate Medical Education (ACGME) requirements on resident duty hours are scheduled to undergo nationwide implementation in July 2003. General surgery residents, because of their long duty hours, are likely to be among those most affected by changes imposed to comply with the ACGME requirements. There are few contemporary data on their attitudes toward work hours reform. STUDY DESIGN: The study entailed a region-wide survey of residents enrolled in general surgery residencies in New England to characterize the perceptions and desires of surgical residents on the issue of work hours reform. RESULTS: Respondents reported working a mean of 105 ± 0.7 hours per week, considerably more than the 80-hour limit stipulated by the ACGME. Of the respondents, 81{\%} reported that sleep deprivation had negatively affected their work. A strong majority of respondents believe that work hours reform would improve their quality of life but less than one half expect it to have a positive impact on patient care. A greater percentage of senior residents than junior residents (p < 0.05) have negative perceptions of work hour limitations, particularly with respect to consequences for patient care. Other findings suggest that residents who have actually experienced work hour restrictions are less positive about such restrictions than these residents who had not yet experienced them. CONCLUSIONS: Changes imposed by residency programs to comply with work hour requirements might have detrimental effects on senior residents and patient care. The impact of such changes should be carefully monitored as the ACGME requirements are implemented.",
author = "Whang, {Edward E.} and Alexander Perez and Hiromichi Ito and Mello, {Michelle M.} and Ashley, {Stanley W.} and Zinner, {Michael J.}",
year = "2003",
doi = "10.1016/S1072-7515(03)00602-1",
language = "English (US)",
volume = "197",
pages = "624--630",
journal = "Journal of the American College of Surgeons",
issn = "1072-7515",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Work hours reform

T2 - Perceptions and desires of contemporary surgical residents

AU - Whang, Edward E.

AU - Perez, Alexander

AU - Ito, Hiromichi

AU - Mello, Michelle M.

AU - Ashley, Stanley W.

AU - Zinner, Michael J.

PY - 2003

Y1 - 2003

N2 - BACKGROUND: New Accreditation Council for Graduate Medical Education (ACGME) requirements on resident duty hours are scheduled to undergo nationwide implementation in July 2003. General surgery residents, because of their long duty hours, are likely to be among those most affected by changes imposed to comply with the ACGME requirements. There are few contemporary data on their attitudes toward work hours reform. STUDY DESIGN: The study entailed a region-wide survey of residents enrolled in general surgery residencies in New England to characterize the perceptions and desires of surgical residents on the issue of work hours reform. RESULTS: Respondents reported working a mean of 105 ± 0.7 hours per week, considerably more than the 80-hour limit stipulated by the ACGME. Of the respondents, 81% reported that sleep deprivation had negatively affected their work. A strong majority of respondents believe that work hours reform would improve their quality of life but less than one half expect it to have a positive impact on patient care. A greater percentage of senior residents than junior residents (p < 0.05) have negative perceptions of work hour limitations, particularly with respect to consequences for patient care. Other findings suggest that residents who have actually experienced work hour restrictions are less positive about such restrictions than these residents who had not yet experienced them. CONCLUSIONS: Changes imposed by residency programs to comply with work hour requirements might have detrimental effects on senior residents and patient care. The impact of such changes should be carefully monitored as the ACGME requirements are implemented.

AB - BACKGROUND: New Accreditation Council for Graduate Medical Education (ACGME) requirements on resident duty hours are scheduled to undergo nationwide implementation in July 2003. General surgery residents, because of their long duty hours, are likely to be among those most affected by changes imposed to comply with the ACGME requirements. There are few contemporary data on their attitudes toward work hours reform. STUDY DESIGN: The study entailed a region-wide survey of residents enrolled in general surgery residencies in New England to characterize the perceptions and desires of surgical residents on the issue of work hours reform. RESULTS: Respondents reported working a mean of 105 ± 0.7 hours per week, considerably more than the 80-hour limit stipulated by the ACGME. Of the respondents, 81% reported that sleep deprivation had negatively affected their work. A strong majority of respondents believe that work hours reform would improve their quality of life but less than one half expect it to have a positive impact on patient care. A greater percentage of senior residents than junior residents (p < 0.05) have negative perceptions of work hour limitations, particularly with respect to consequences for patient care. Other findings suggest that residents who have actually experienced work hour restrictions are less positive about such restrictions than these residents who had not yet experienced them. CONCLUSIONS: Changes imposed by residency programs to comply with work hour requirements might have detrimental effects on senior residents and patient care. The impact of such changes should be carefully monitored as the ACGME requirements are implemented.

UR - http://www.scopus.com/inward/record.url?scp=0842290440&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0842290440&partnerID=8YFLogxK

U2 - 10.1016/S1072-7515(03)00602-1

DO - 10.1016/S1072-7515(03)00602-1

M3 - Review article

C2 - 14522334

AN - SCOPUS:0842290440

VL - 197

SP - 624

EP - 630

JO - Journal of the American College of Surgeons

JF - Journal of the American College of Surgeons

SN - 1072-7515

IS - 4

ER -