Assessing the 16 hour intern shift limit: Results of a multi-center, mixed-methods study of residents and faculty in general surgery

被引：3

作者：

Coverdill, James E. ^{[1
]}

Alseidi, Adnan ^{[2
]}

Borgstrom, David C. ^{[3
]}

Dent, Daniel L. ^{[4
]}

Dumire, Russell ^{[5
]}

Fryer, Jonathan ^{[6
]}

Hartranft, Thomas H. ^{[7
]}

Holsten, Steven B. ^{[8
]}

Nelson, M. Timothy ^{[9
]}

Shabahang, Mohsen M. ^{[10
]}

Sherman, Stanley R. ^{[11
]}

Termuhlen, Paula M. ^{[12
]}

Woods, Randy J. ^{[13
]}

Mellinger, John D. ^{[14
]}

机构：

[1] Univ Georgia, Dept Sociol, Athens, GA 30602 USA

[2] Virginia Mason Med Ctr, HPB & Endocrine Surg, Seattle, WA 98101 USA

[3] West Virginia Univ, Dept Surg, Morgantown, WV USA

[4] UT Hlth San Antonio, Div Trauma & Emergency Surg, San Antonio, TX USA

[5] Conemaugh Mem Med Ctr, Trauma Serv, Johnstown, PA USA

[6] Northwestern Univ, Dept Surg, Feinberg Sch Med, Chicago, IL 60611 USA

[7] Ohio Univ, Mt Carmel Hlth Syst, Columbus, OH USA

[8] Augusta Univ, Dept Surg, Med Coll Georgia, Augusta, GA USA

[9] Univ New Mexico, Dept Surg, Albuquerque, NM 87131 USA

[10] Geisinger Med Ctr, Dept Gen Surg, Danville, PA 17822 USA

[11] Michigan State Univ, Grand Rapids Med Educ Partners, Wyoming, MI USA

[12] Univ Minnesota, Sch Med, Off Dean, Duluth, MN 55812 USA

[13] Wright State Univ, Dept Surg, Boonshoft Sch Med, Dayton, OH 45435 USA

[14] Southern Illinois Univ, Sch Med, Dept Surg, Springfield, IL USA

来源：

AMERICAN JOURNAL OF SURGERY | 2018年 / 215卷 / 02期

关键词：

Resident duty hour restrictions; General surgery residents; Intern duty hour limitation; Resident education; Professionalism; QUALITY-OF-LIFE; PATIENT-CARE; ACCREDITATION COUNCIL; PROGRAM DIRECTORS; CORE COMPETENCES; DUTY; EDUCATION; RESTRICTIONS; OUTCOMES; IMPACT;

D O I：

10.1016/j.amjsurg.2017.08.053

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The study explores how residents and faculty assess the ACGME's 16-h limit on intern shifts. Methods: Questionnaire response rates were 76% for residents (N = 291) and 71% for faculty (N = 279) in 13 general surgery residency programs. Results include means, percentage in agreement, and statistical tests for 15 questionnaire items. Semi-structured interviews conducted with 39 residents and 43 faculty were analyzed for main themes. Results: Few view the intern shift limit as a positive change. Views differ (P < 0.01) for residents and faculty on 12 of 15 item means and across PGY levels on all 15 items. Interviews indicate concerns about losses with respect to education and professional development, difficulties when interns transition to their second year, and how intern shifts may be more fatiguing than expected. Conclusions: The 16-h limit on intern shifts has remained a source of concern and an educational challenge for residents and faculty. (c) 2017 Elsevier Inc. All rights reserved.

引用

页码：326 / 330

页数：5

共 1 条

[1] Effect of the 16-Hour Work Limit on General Surgery Intern Operative Case Volume A Multi-institutional Study
Schwartz, Samuel I.
Galante, Joseph
Kaji, Amy
Dolich, Matthew
Easter, David
Melcher, Marc L.
Patel, Kevin
Reeves, Mark E.
Salim, Ali
Senagore, Anthony J.
Takanishi, Danny M., Jr.
de Virgilio, Christian
JAMA SURGERY, 2013, 148 (09) : 829 - 833

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