Impact of duty hour regulations on medical students' education: Views of key clinical faculty

Journal of General Internal Medicine

Volumn 23, Issue 7, 2008, Pages 1084-1089

  Reed, Darcy A ^a   Levine, Rachel B ^b   Miller, Redonda G ^b   Ashar, Bimal H ^b   Bass, Eric B ^b   Rice, Tasha ^b   Cofrancesco Jr , Joseph ^b  

^a MAYO CLINIC   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Duty hours; Internal medicine; Key clinical faculty; Medical students; Residents

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; CURRICULUM; FEMALE; HUMAN; HUMAN EXPERIMENT; MALE; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL STUDENT; MULTIVARIATE ANALYSIS; NORMAL HUMAN; PERSONAL EXPERIENCE; RESIDENCY EDUCATION; TEACHER; WORK SCHEDULE; WORKING TIME;

ADULT; CONTINUITY OF PATIENT CARE; DATA COLLECTION; EDUCATION, MEDICAL, UNDERGRADUATE; FACULTY, MEDICAL; FEMALE; HUMANS; INTERNAL MEDICINE; INTERNSHIP AND RESIDENCY; MALE; MIDDLE AGED; TEACHING; WORK SCHEDULE TOLERANCE;

EID: 46949098327     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-008-0532-1     Document Type: Article

References (37)

1. Philibert I, Friedmann P, Williams WT. New requirements for resident duty hours. JAMA. 2002;288(9)1112-4.
2. Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Arch Intern Med. 2005;165222601-6.
3. Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165(22)2595-600.
4. Irani JL, Mello MM, Ashley SW, Whang EE, Zinner MJ, Breen E. Surgical residents' perceptions of the effects of the ACGME duty hour requirements 1 year after implementation. Surgery. 2005;138(2)246-53.
5. Fletcher KE, Underwood W III, Davis SQ, Mangrulkar RS, McMahon LF Jr., Saint S. Effects of work hour reduction on residents' lives: a systematic review. JAMA. 2005;294(9)1088-100.
6. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298:984-92.
7. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298:975-83.
8. Coverdill JE, Finlay W, Adrales GL, et al. Duty-hour restrictions and the work of surgical faculty: results of a multi-institutional study. Acad Med. 2006;81(1)50-56.
9. Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6)864-71.
10. Reed DA, Levine RB, Miller RG, et al. Effect of residency duty-hour limits: views of key clinical faculty. Arch Intern Med. 2007;167(14)1487-92.
11. AAMC Medical School Graduation Questionnaire All Schools Report. Association of American Medical Colleges 2006. Available at: http://www.aamc.org/data/gq/allschoolsreports/2006.pdf. Accessed December 11, 2007.
12. Chen J, Kamath R, Lam A, et al. How will changes in resident work hours affect medical students? Curr Surg. 2003;60:268-70.
13. Skeff KM, Ezeji-Okoye S, Pompei P, Rockson S. Benefits of resident work hours regulation. Ann Intern Med. 2004;140:816-7.
14. Liason Committee on Medical Education. Educational Program for the MD Degree. Available at: http://www.lcme.org/functionslist. htm#educational%20program. Accessed December 11, 2007.
15. Brasher AE, Chowdhry S, Hauge LS, Prinz RA. Medical students' perceptions of resident teaching: have duty hours regulations had an impact? Ann Surg. 2005;242(4)548-53.
16. White CB, Haftel HM, Purkiss JA, Schigelone AS, Hammoud MM. Multidimensional effects of the 80-hour work week at the University of Michigan Medical School. Acad Med. 2006;81(1)57-62.
17. Nixon LJ, Benson BJ, Rogers TB, Sick BT, Miller WJ. Effects of Accreditation Council for Graduate Medical Education work hour restrictions on medical student experience. J Gen Intern Med. 2007;22(7)937-41.
18. Jagsi R, Shapiro J, Weinstein DF. Perceived impact of resident work hour limitations on medical student clerkships: a survey study. Acad Med. 2005;80(8)752-7.
19. Kogan JR, Bellini LM, Shea JA. The impact of resident duty hour reform in a medicine core clerkship. Acad Med. 2004;79(10 Suppl)S58-61.
20. Kogan JR, Pinto-Powell R, Brown LA, Hemmer P, Bellini LM, Peltier D. The impact of resident duty hours reform on the internal medicine core clerkship: results from the clerkship directors in internal medicine survey. Acad Med. 2006;81(12)1038-44.
21. Program Requirements for Residency Education in Internal Medicine. Available at: http://www.acgme.org/acWebsite/downloads/RRC_progReq/ 140_im_07012007.pdf. Accessed December 11, 2007.
22. NIH Awards to Medical Schools by Rank, Fiscal year 2004. Available at: http://grants.nih.gov/grants/award/rank/medttl04.htm. Accessed December 11, 2007.
23. List of ACGME Accredited Programs and Sponsoring Institutions. Available at: http://www.acgme.org/adspublic/. Accessed December 11, 2007.
24. Zar JH. Biostatistical analysis. 4th edn. Upper Saddle River, NJ: Prentice-Hall, Inc; 1999.
25. Zeger SL, Liang KY, Albert PS. Models for longitudinal data: a generalized estimating equation approach. Biometrics. 1988;44:1049-60.
26. AAMC US Medical School Faculty Reports, 2005. Available at: http://www.aamc.org/data/facultyroster/usmsf05/start.htm. Accessed December 11, 2007.
27. Arora V, Wetterneck TB, Schnipper JL, et al. Effect of the inpatient general medicine rotation on student pursuit of a generalist career. J Gen Intern Med. 2006;21(5)471-5.
28. Schwartz MD, Linzer M, Babbott D, Divine GW, Broadhead E. Medical student interest in internal medicine. Initial report of the society of general internal medicine interest group survey on factors influencing career choice in internal medicine. Ann Intern Med. 1991;114(1)6-15.
29. McMurray JE, Schwartz MD, Genero NP, Linzer M. The attractiveness of internal medicine: a qualitative analysis of the experiences of female and male medical students. Society of General Internal Medicine Task Force on Career Choice in Internal Medicine Ann Intern Med. 1993;119(8)812-8.
30. LCME. Functions and Structure of A Medical School, Standards for Accreditation of Medical Education Programs Leading to the MD Degree. http://www.lcme.org/functions2007jun.pdf. Accessed December 11, 2007.
31. Arora VM, Seiden SC, Higa JT, Siddique J, Meltzer DO, Humphrey HJ. Effect of student duty hours policy on teaching and satisfaction of 3rd year medical students. Am J Med. 2006;119(12)1089-95.
32. Harrison R, Allen E. Teaching internal medicine residents in the new era. Inpatient attending with duty-hour regulations. J Gen Intern Med. 2006;21(5)447-52.
33. Schuster B. Tough times for teaching faculty. Arch Intern Med. 2007;167(14)1453-5.
34. Ogur B, Hirsh D, Krupat E, Bor D. The Harvard Medical School-Cambridge integrated clerkship: an innovative model of clinical education. Acad Med. 2007;82(4)397-404. (Apr).
35. Kellogg KC, Breen E, Ferzoco SJ, Zinner MJ, Ashley SW. Resistance to change in surgical residency: an ethnographic study of work hours reform. J Am Coll Surg. 2006;202(4)630-6.
36. Nelson HD, Cooney TG, Kroenke K, Friedman RH. Contributions of general internal medicine teaching units: a national survey. J Gen Intern Med. 2000;15(5)277-83.
37. Landrigan CP, Barger LK, Cade BE, Ayas NT, Czeisler CA. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9)1063-70.