General surgery resident attrition and the 80-hour workweek
The American Journal of SurgeryPublished 1 December 2007
Christopher Everett, Stephen D. Helmer, Jacqueline S. Osland, R. Stephen Smith
Citations70
SJR quartileQ1
SJR score0.95
SNIP1.17
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
Despite improvements in work hours and lifestyle during surgical training, residents migrate to specialties that are conducive to a more controllable lifestyle after experiencing surgery residency.
Abstract
More residents are leaving general surgery training since the institution of the 80-hour workweek. Despite improvements in work hours and lifestyle during surgical training, residents migrate to specialties that are conducive to a more controllable lifestyle after experiencing surgery residency.
Keywords
PsychologyMedicine
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.
Journal of the American College of SurgeonsEffects of Limited Work Hours on Surgical Training
285 Citations2002Catherine B. Barden, Michelle C. Specht +3 more
Reduction in resident work hours has salutary effects on perception of quality of life and basic education for surgical residents, but these benefits may come at the expense of patient care, particularly continuity of care.
Current SurgeryWhy do residents leave general surgery? The hidden problem in today’s programs
137 Citations2005Thomas F. Dodson, Alexandra L. Webb
Although much concern has been expressed over the declining numbers of medical students interested in surgery, loss of residents after matching in general surgery is an equally significant problem.
Archives of SurgeryA Survey of Residents and Faculty Regarding Work Hour Limitations in Surgical Training Programs
82 Citations2003Mark J. Niederee
Although most residents support duty hour limits; surgical faculty are less supportive, significant alterations in the current design and structure of surgical-training programs will be required to meet the ACGME guidelines.
Journal of the American College of SurgeonsHas the 80-Hour Work Week Had an Impact on Voluntary Attrition in General Surgery Residency Programs?
82 Citations2005Thomas J. Leibrandt, Christopher M. Pezzi +3 more
Rates and patterns of attrition seem to have been unaffected by Accreditation Council for Graduate Medical Education work-hours limitations.
Journal of the American College of SurgeonsVoluntary Changes in Surgery Career Paths: A Survey of the Program Directors in Surgery
70 Citations2003Jon B. Morris, Thomas J. Leibrandt +1 more
The current scope of attrition is quantified, the reasons why categorical residents are leaving general surgery residency programs voluntarily are identified, and the program directors' and residents' perspectives are correlated.
Current SurgeryBefore and after resident work hour limitations: An objective assessment of the well-being of surgical residents
64 Citations2005Thomas Stamp, Paula M. Termuhlen +5 more
Although a great deal of concern has existed about the impact of work hour limitations on surgery resident training, residents feel their training has not been affected significantly and work hour restrictions have had a positive impact on the lives of surgery residents outside of the hospital.
Journal of the American College of SurgeonsImpact of mandatory resident work hour limitations on medical students’ interest in surgery
53 Citations2004George Miller, Zubin M. Bamboat +5 more
Widespread implementation of work hour limitations may bolster the number of applications for surgical residency and have a positive impact on medical students' interest in surgery.
Current SurgeryMyths and Realities of the 80-Hour Work Week
35 Citations2006Paul J. Schenarts, Kimberly D. Schenarts +1 more
Despite strongly held opinions, resident work-hour reduction has resulted in little significant change in lifestyle, clinical exposure, patient well-being, faculty work hours, or medical student recruitment.
Surgical Clinics of North AmericaAttrition and replacement of general surgery residents
22 Citations2004Thomas J. Leibrandt, Steven A. Fassler +1 more
Recruitment, characteristics, and success of residents who replaced those who left through attrition are reviewed and patterns of resident withdrawal from training in general surgery and other disciplines are compared.
