Impact of Duty Hour Regulations on Medical Students’ Education: Views of Key Clinical Faculty
Journal of General Internal MedicinePublished 1 July 2008Open access
Darcy A. Reed, Rachel B. Levine, Redonda G. Miller, Bimal H. Ashar, Eric B Bass, Tasha N. Rice
Citations28
SJR quartileQ1
SJR score1.99
SNIP1.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Key clincal faculty report concerns about the impact of duty hour regulations on aspects of medical students’ education in internal medicine, which should identify ways to ensure optimal educational experiences for students within duty hour requirements.
Abstract
Key clincal faculty report concerns about the impact of duty hour regulations on aspects of medical students' education in internal medicine. Medical schools and residency programs should identify ways to ensure optimal educational experiences for students within duty hour requirements.
Keywords
PsychologyMedicine
BiometricsModels for Longitudinal Data: A Generalized Estimating Equation Approach
4,532 Citations1988Scott L. Zeger, Kung‐Yee Liang +1 more
This article discusses extensions of generalized linear models for the analysis of longitudinal data in which heterogeneity in regression parameters is explicitly modelled and uses a generalized estimating equation approach to fit both classes of models for discrete and continuous outcomes.
JAMANew Requirements for Resident Duty Hours
520 Citations2002Ingrid Philibert
A systematic review of the effectiveness of critical appraisal skills training for clinicians and the impact of an evidence-based medicine curriculum based on adult learning theory on students' reading habits and knowledge is presented.
Annals of SurgeryThe Impact of the 80-Hour Resident Workweek on Surgical Residents and Attending Surgeons
397 Citations2006Matthew M. Hutter, Katherine C. Kellogg +3 more
Although the mandated restriction of resident duty hours has had no measurable impact on the quality of patient care and has led to improvements for the current quality of life of residents, there are many concerns with regards to the training of professional, responsible surgeons for the future.
Archives of Internal MedicineBurnout and Internal Medicine Resident Work-Hour Restrictions
344 Citations2005Ravi Gopal, Jeffrey J. Glasheen +2 more
Reducing hours may be the first step to reduce burnout but may also affect education and quality of care.
JAMAEffects of Work Hour Reduction on Residents’ Lives
328 Citations2005Kathlyn E. Fletcher, Willie Underwood +4 more
Past interventions suggest that residents' quality of life may improve with work hour limitations, but interpretation of the outcomes of these studies is hampered by suboptimal study design and the use of nonvalidated instruments.
JAMAMortality Among Hospitalized Medicare Beneficiaries in the First 2 Years Following ACGME Resident Duty Hour Reform
323 Citations2007Kevin G. Volpp, Amy K. Rosen +7 more
The ACGME duty hour reform was not associated with either significant worsening or improvement in mortality for Medicare patients in the first 2 years after implementation.
Academic MedicineThe Harvard Medical School-Cambridge Integrated Clerkship: An Innovative Model of Clinical Education
280 Citations2007Barbara Ogur, David A. Hirsh +2 more
The Harvard Medical School-Cambridge Integrated Clerkship (HMS-CIC) is a redesign of the principal clinical year to foster students' learning from close and continuous contact with cohorts of patients in the disciplines of internal medicine, neurology, obstetrics-gynecology, pediatrics, and psychiatry.
Archives of Internal MedicineThe Effects of Work-Hour Limitations on Resident Well-being, Patient Care, and Education in an Internal Medicine Residency Program
267 Citations2005Lara Goitein, Tait D. Shanafelt +3 more
Internal medicine residents approve of WHLs overall and report benefits to their well-being, however, they also report negative effects on patient care and resident education.
JAMAMortality Among Patients in VA Hospitals in the First 2 Years Following ACGME Resident Duty Hour Reform
226 Citations2007Kevin G. Volpp, Amy K. Rosen +7 more
Journal of Vascular SurgeryMortality Among Patients in VA Hospitals in the First 2 Years Following ACGME Resident Duty Hour Reform
223 Citations2008Kevin G. Volpp, Amy K. Rosen +1 more
The ACGME duty hour reform was associated with significant relative improvement in mortality for patients with 4 common medical conditions in more teaching-intensive VA hospitals in postreform year 2.
JAMAInterns' Compliance With Accreditation Council for Graduate Medical Education Work-Hour Limits
154 Citations2006Christopher P. Landrigan, Laura K. Barger +3 more
In the first year following implementation of the ACGME duty-hour standards, interns commonly reported noncompliance with these requirements, and reported mean work duration decreased and sleep duration increased.
SurgerySurgical residents' perceptions of the effects of the ACGME duty hour requirements 1 year after implementation
104 Citations2005Jennifer Irani, Michelle M. Mello +4 more
Most surgical residents do not believe that the ACGME duty hour requirements have had their intended effect of improving quality of care and are ambivalent about effects on the quality of their training, however, they report an improved quality of life, and most residents do support the requirements overall.
Annals of Internal MedicineMedical Student Interest in Internal Medicine
104 Citations1991Mark D. Schwartz, Mark Linzer +3 more
Factor analysis showed that three factors, "intellectual challenge of internal medicine," "primary care interests" and "the medicine clerkship" attracted students toward internal medicine, whereas three others, "taking care of chronically ill patients," "level of satisfaction among internists and medical residents," and "workload and stress" pushed students away from internal medicine.
Archives of Internal MedicineEffect of Residency Duty-Hour Limits
90 Citations2007Darcy A. Reed
Key clinical faculty believe that duty-hour limitations have adversely affected important aspects of residents' patient care, education, and professionalism, as well as faculty workload and satisfaction.
Annals of Internal MedicineThe Attractiveness of Internal Medicine: A Qualitative Analysis of the Experiences of Female and Male Medical Students
70 Citations1993Julia E. McMurray, Mark D. Schwartz +2 more
A model was developed to reveal explanations for career-choice issues that closed-ended questionnaires did not elicit and provide new evidence about the importance of relationships among students, patients, and teachers during medical training as a factor in improving the attractiveness of internal medicine.
Journal of the American College of SurgeonsResistance to Change in Surgical Residency: An Ethnographic Study of Work Hours Reform
59 Citations2006Katherine C. Kellogg, Elizabeth Breen +3 more
The results demonstrate that practical solutions alone may not be a sufficient basis for change in surgical residency, and attention to social and political issues may enhance the success of the efforts.
Academic MedicineDuty-Hour Restrictions and the Work of Surgical Faculty: Results of a Multi-Institutional Study
50 Citations2006James E. Coverdill, William Finlay +10 more
Whether duty-hour restrictions have been consequential for various aspects of the work of surgical faculty and if those consequences differ for faculty in academic and nonacademic general surgery residency programs is examined.
Annals of SurgeryMedical Students' Perceptions of Resident Teaching
45 Citations2005Aimee Elizabeth Brasher, Shahnaz Chowdhry +2 more
Academic MedicineThe Impact of Resident Duty Hours Reform on the Internal Medicine Core Clerkship: Results from the Clerkship Directors in Internal Medicine Survey
40 Citations2006Jennifer R. Kogan, Roshini Pinto-Powell +4 more
Internal medicine clerkship directors are concerned about the impact of resident duty hours reform on student education and additional studies of this educational impact are needed.
Journal of General Internal MedicineTeaching internal medicine residents in the new era
37 Citations2006Rebecca A. Harrison, Elizabeth S. Allen
Duty-hour regulations have increased attending clinical responsibility and decreased teaching time in 1 residency program, leading to the perception of a more intense attending experience.
Academic MedicineMultidimensional Effects of the 80-Hour Work Week at the University of Michigan Medical School
35 Citations2006Casey White, Hilary M. Haftel +3 more
Implementation of resident work-hour restrictions had significant effects on the education of the medical students studied, and the nature of students' perceptions was related to preparations made by specific clerkships as restricted work-hours regulations were adopted.
Annals of Internal MedicineBenefits of Resident Work Hours Regulation
33 Citations2004Kelley M. Skeff, Stephen C. Ezeji-Okoye +2 more
The new regulations for resident work hours are part of a long evolutionary process of change in medical education, representing the most dramatic innovation in recent history to calibrate the work hours for residents.
Academic MedicinePerceived Impact of Resident Work Hour Limitations on Medical Student Clerkships: A Survey Study
30 Citations2005Reshma Jagsi, Jo Shapiro +1 more
This small, early study suggests that reductions in resident work hours might be implemented without a significant negative impact upon medical students’ self-assessed learning experiences, and that limiting resident workhours may even have a positive impact on medical students.
Academic MedicineThe Impact of Resident Duty Hour Reform in a Medicine Core Clerkship
17 Citations2004Jennifer R. Kogan, Lisa M. Bellini +1 more
Residency program changes had minimal impact on medicine clerkship students and no differences existed in proportion of time for direct patient care, students’ associations, educational value, and time in the hospital before and after reform.
Journal of General Internal MedicineEffects of Accreditation Council for Graduate Medical Education Work Hour Restrictions on Medical Student Experience
17 Citations2007L. James Nixon, Bradley Benson +3 more
Students on required Internal Medicine, Surgery, and Pediatric clerkships at the University of Minnesota do report being taught more by their residents, and this may be a factor of decreased resident fatigue or an increased sense of well-being.
Journal of General Internal MedicineEffect of the inpatient general medicine rotation on student pursuit of a generalist career
17 Citations2006Vineet M. Arora, Tosha B. Wetterneck +7 more
Satisfaction with the inpatient general medicine rotation promotes pursuit of a career in GIM, and factor analysis revealed 3 components of satisfaction (attending, resident, and teaching).
Journal of General Internal MedicineContributions of general internal medicine teaching units
11 Citations2000Heidi D Nelson, Thomas G. Cooney +2 more
General internal medicine teaching units surveyed contributed substantial faculty effort, much of it unfunded and located off-campus, to training medical students, residents, and fellows.
The American Journal of MedicineEffect of Student Duty Hours Policy on Teaching and Satisfaction of 3rd Year Medical Students
10 Citations2006Vineet M. Arora, Samuel C. Seiden +4 more
Current SurgeryHow will changes in resident work hours affect medical students?
10 Citations2003Julie Chen, Ravi S. Kamath +6 more
The Patient Doctor III course at Harvard Medical School is designed to help third year students adjust to the clinical setting by focusing on a problem they have identified, working out a framework for change and presenting a summary to their fellow students, faculty and medical school administration.