Appropriate working hours for surgical training according to Australasian trainees

ANZ Journal of Surgery

Volumn 82, Issue 4, 2012, Pages 225-229

  O'Grady, Gregory ^a   Harper, Simon ^a   Loveday, Benjamin ^a   Adams, Brandon ^a   Civil, Ian D ^a   Peters, Matthew ^a  

^a ROYAL AUSTRALASIAN COLLEGE OF SURGEONS   (Australia)

Author keywords

Driving; Duty hours regulations; Education; Sleep

Indexed keywords

ARTICLE; AUSTRALIA; EDUCATION; FATIGUE; GENERAL SURGERY; HUMAN; INFORMATION PROCESSING; MEDICAL EDUCATION; NEW ZEALAND; SLEEP DEPRIVATION; WORK SCHEDULE;

AUSTRALIA; DATA COLLECTION; FATIGUE; GENERAL SURGERY; HUMANS; INTERNSHIP AND RESIDENCY; NEW ZEALAND; SLEEP DEPRIVATION; WORK SCHEDULE TOLERANCE;

EID: 84858793068     PISSN: 14451433     EISSN: 14452197     Source Type: Journal    
DOI: 10.1111/j.1445-2197.2011.05992.x     Document Type: Article

References (25)

1. Pounder R. Working time regulations for trainee doctors. BMJ 2009; 339: b4488.
2. Purcell Jackson G, Tarpley JL. How long does it take to train a surgeon? BMJ 2009; 339: b4260.
3. Cairns H, Hendry B, Leather A, Moxham J. Outcomes of the European Working Time Directive. BMJ 2008; 337: 942.
4. Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. The impact of the 80-h resident workweek on surgical residents and attending surgeons. Ann. Surg. 2006; 243: 864-71; discussion 871-5.
5. Temple J. Time for Training: A Review of the impact of the European Working Time Directive on the quality of training. National Health Service: Medical Education England. May 2010. London, UK.
6. Jefferis T, Snelling J, Collins J, de Cossart L. Educating surgeons in a 48-h week: time to change mindset. Ann. R. Coll. Surg. Engl. 2009; 91: 318-20.
7. Curet MJ. Resident work hour restrictions: where are we now? J. Am. Coll. Surg. 2008; 207: 767-76.
8. O'Grady G, Loveday B, Harper S, Adams B, Civil ID, Peters M. Working hours and roster structures of surgical trainees in Australia and New Zealand. ANZ J. Surg. 2010; 80: 890-5.
9. Carskadon MA, Dement WC. Normal human sleep: an overview. In: Kryger MH, Roth T, Dement WC (eds). Principles and Practice of Sleep Medicine. Philidelphia: Saunders, 2000; 13-23.
10. Barger LK, Ayas NT, Cade BE etal. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006; 3: e487.
11. Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Sleep 2005; 28: 1392-402.
12. Veasey S, Rosen R, Barzansky B, Rosen I, Owens J. Sleep loss and fatigue in residency training: a reappraisal. JAMA 2002; 288: 1116-24.
13. Barger LK, Cade BE, Ayas NT etal. Extended work shifts and the risk of motor vehicle crashes among interns. N. Engl. J. Med. 2005; 352: 125-34.
14. Lockley SW, Barger LK, Ayas NT, Rothschild JM, Czeisler CA, Landrigan CP. Effects of health care provider work hours and sleep deprivation on safety and performance. Jt. Comm. J. Qual. Patient Saf. 2007; 33: 7-18.
15. Iglehart JK. Revisiting duty-hour limits - IOM recommendations for patient safety and resident education. N. Engl. J. Med. 2008; 359: 2633-5.
16. Sugden C, Darzi A. The performance effects of sleep deprivation and fatigue. Surgery 2010; 147: 255-6.
17. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Consequences of inadequate sign-out for patient care. Arch. Intern. Med. 2008; 168: 1755-60.
18. Moonesinghe SR, Lowery J, Shahi N, Millen A, Beard JD. Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. BMJ 2011; 342: d1580.
19. Black J. Carpe Diem. Ann. R. Coll. Surg. Engl. 2009; 91: 42-3.
20. Black J. (Royal College of Surgeons of England). Letter to Secretary of State. 9 May 2009. [Cited August 2011.] Available from URL:
21. Cresswell B, Marron C, Hawkins W, Harrison E, Fitzgerald E, von Roon A. Optimising working hours to provide quality in training and patient safety: A position statement by the Association of Surgeons in Training, Royal College of Surgeons of England. 2009.
22. Philibert I, Friedmann P, Williams WT. New requirements for resident duty hours. JAMA 2002; 288: 1112-4.
23. Moalem J, Brewster L, James T. Position statement on further work hour restrictions. (Resident and Association Society of the American College of Surgeons). Bull. Am. Coll. Surg. 2009; 94: 19-21.
24. Moalem J, Salzman P, Ruan D etal. Should all duty hours be the same? Results of a national survery of surgical trainees. J. Am. Coll. Surg. 2009; 209: 47-54.
25. Vetto JT, Robbins D. Impact of the recent reduction in working hours (the 80h work week) on surgical resident cancer education. J. Cancer Educ. 2005; 20: 23-7.