TY - JOUR
T1 - Effect of residency duty-hour limits
T2 - Views of key clinical faculty
AU - Reed, Darcy A.
AU - Levine, Rachel B.
AU - Miller, Redonda G.
AU - Ashar, Bimal H.
AU - Bass, Eric B.
AU - Rice, Tasha N.
AU - Cofrancesco, Joseph
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2007/7/23
Y1 - 2007/7/23
N2 - Background: To determine the effect of duty-hour limitations, it is important to consider the views of faculty who have the most contact with residents. Method: We conducted a national survey of key clinical faculty (KCF) at 39 internal medicine residency programs affiliated with US medical schools selected by random sample stratified by federal research funding and program size to elicit their views on the effect of duty-hour limitations on residents' patient care, education, professionalism, and well-being and on faculty workload and satisfaction. Results: Of 154 KCF surveyed, 111 (72%) responded. The KCF reported worsening in residents' continuity of care (87%) and the physician-patient relationship (75%). Faculty believed that residents' education (66%) and professionalism, including accountability to patients (73%) and ability to place patient needs above self-interests (57%), worsened, yet 50% thought residents' well-being improved. The KCF reported spending more time providing inpatient services (47%). Faculty noted decreased satisfaction with teaching (56%), ability to develop relationships with residents (40%), and overall career satisfaction (31%). In multivariate analysis, KCF with 5 years of teaching experience or more were more likely to perceive a negative effect of duty hours on residents' education (odds ratio, 2.84; 95% confidence interval, 1.15-7.00). Conclusions: 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. Residency programs should continue to look for ways to optimize experiences for residents and faculty within the confines of the duty-hour requirements.
AB - Background: To determine the effect of duty-hour limitations, it is important to consider the views of faculty who have the most contact with residents. Method: We conducted a national survey of key clinical faculty (KCF) at 39 internal medicine residency programs affiliated with US medical schools selected by random sample stratified by federal research funding and program size to elicit their views on the effect of duty-hour limitations on residents' patient care, education, professionalism, and well-being and on faculty workload and satisfaction. Results: Of 154 KCF surveyed, 111 (72%) responded. The KCF reported worsening in residents' continuity of care (87%) and the physician-patient relationship (75%). Faculty believed that residents' education (66%) and professionalism, including accountability to patients (73%) and ability to place patient needs above self-interests (57%), worsened, yet 50% thought residents' well-being improved. The KCF reported spending more time providing inpatient services (47%). Faculty noted decreased satisfaction with teaching (56%), ability to develop relationships with residents (40%), and overall career satisfaction (31%). In multivariate analysis, KCF with 5 years of teaching experience or more were more likely to perceive a negative effect of duty hours on residents' education (odds ratio, 2.84; 95% confidence interval, 1.15-7.00). Conclusions: 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. Residency programs should continue to look for ways to optimize experiences for residents and faculty within the confines of the duty-hour requirements.
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U2 - 10.1001/archinte.167.14.1487
DO - 10.1001/archinte.167.14.1487
M3 - Article
C2 - 17646602
AN - SCOPUS:34547220584
SN - 0003-9926
VL - 167
SP - 1487
EP - 1492
JO - Archives of internal medicine
JF - Archives of internal medicine
IS - 14
ER -