Impact of resident work-hour restrictions on trauma care

被引：12

作者：

Byrnes, MC ^{[1
]}

Narciso, VC ^{[1
]}

Brantley, L ^{[1
]}

Helmer, SD ^{[1
]}

Smith, S ^{[1
]}

机构：

[1] Univ Kansas, Sch Med, Dept Surg, Wichita, KS 67214 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2006年 / 191卷 / 03期

关键词：

education; quality; schedule; trauma; work hours;

D O I：

10.1016/j.amjsurg.2005.10.036

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: In July 2003, the American Council for Graduate Medical Education (ACGME) required residency programs to significantly restrict resident work hours. The effect of these regulations on trauma services has not yet been investigated. The purpose of this study was to evaluate the effect of the ACGME regulations on the care of injured patients and resident education. Methods: A 24-question instrument was mailed to a sample of senior trauma surgeons. Results: Shift work has become significantly more common among trauma residents since July 2003 (14% vs. 53.4%, (P < .001)). Fifty-four percent of respondents believed that trauma education has worsened and 45% believed that patient care has worsened as a result of the work-hour restrictions. Conclusions: The ACGME-mandated work-hour restrictions have had a dramatic effect on resident and staff surgeons involved in the care of injured patients. Appropriate methods of responding to these challenges must be developed to improve trauma care and enhance resident education. (c) 2006 Excerpta Medica Inc. All rights reserved.

引用

页码：338 / 342

页数：5

共 13 条

[1] Effects of limited work hours on surgical training [J].

Barden, CB ;

Specht, MC ;

McCarter, MD ;

Daly, JM ;

Fahey, TJ .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2002, 195 (04) :531-538

[2] The effect of the Accreditation Council for Graduate Medical Education Duty Hours Policy on plastic surgery resident education and patient care: An outcomes study [J].

Basu, CB ;

Chen, LM ;

Hollier, LH ;

Shenaq, SM .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2004, 114 (07) :1878-1887

[3] Resident duty hours reform: Results of a National Survey of the Program Directors and Residents in Neurosurgery Training Programs [J].

Cohen-Gadol, AA ;

Piepgras, DG ;

Krishnamurthy, S ;

Fessler, RD .

NEUROSURGERY, 2005, 56 (02) :398-402

[4] Investigation of correlation between house-staff work hours and prescribing errors [J].

Davydov, U ;

Caliendo, G ;

Mehl, B ;

Smith, LG .

AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2004, 61 (11) :1130-1134

[5] Effect of sleep deprivation on the performance of simulated laparoscopic surgical skill [J].

Eastridge, BJ ;

Hamilton, EC ;

O'Keefe, GE ;

Rege, RV ;

Valentine, RJ ;

Jones, DJ ;

Tesfay, S ;

Thal, ER .

AMERICAN JOURNAL OF SURGERY, 2003, 186 (02) :169-174

[6] Regulatory and legislative attempts at limiting medical resident work hours [J].

Evans, L .

JOURNAL OF LEGAL MEDICINE, 2002, 23 (02) :251-267

[7] Systematic review: Effects of resident work hours on patient safety [J].

Fletcher, KE ;

Davis, SQ ;

Underwood, W ;

Mangrulkar, RS ;

McMahon, LF ;

Saint, S .

ANNALS OF INTERNAL MEDICINE, 2004, 141 (11) :851-857

[8] Effect of the 80-hour workweek on resident burnout [J].

Gelfand, DV ;

Podnos, YD ;

Carmichael, JC ;

Saltzman, DJ ;

Wilson, SE ;

Williams, RA .

ARCHIVES OF SURGERY, 2004, 139 (09) :933-938

[9] Effects of a twenty-four hour call period on resident performance during simulated endoscopic sinus surgery in an accreditation council for Graduate Medical Education-Compliant Training Program [J].

Jakubowicz, DM ;

Price, EM ;

Glassman, HJ ;

Gallagher, AJG ;

Mandava, N ;

Ralph, WP ;

Fried, MP .

LARYNGOSCOPE, 2005, 115 (01) :143-146

[10] A survey of residents and faculty regarding work hour limitations in surgical training programs [J].

Niederee, MJ ;

Knudtson, JL ;

Byrnes, MC ;

Helmer, SD ;

Smith, S .

ARCHIVES OF SURGERY, 2003, 138 (06) :663-669

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