Resident workload-let's treat the disease, not just the symptom

JAMA Internal Medicine

Volumn 173, Issue 8, 2013, Pages 655-656

  Goitein, Lara ^a   Ludmerer, Kenneth M ^b  

^a St Vincent Regional Medical Center   (United States)

^b WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; HEALTH CARE QUALITY; HUMAN; NOTE; PATIENT CARE; PATIENT SAFETY; PRIORITY JOURNAL; RESIDENCY EDUCATION; RESIDENT; SHIFT WORKER; WORK CAPACITY; WORKLOAD;

CONTINUITY OF PATIENT CARE; FEMALE; HUMANS; INTERNAL MEDICINE; INTERNSHIP AND RESIDENCY; MALE; QUALITY OF HEALTH CARE; SLEEP; WORK SCHEDULE TOLERANCE;

EID: 84876797555     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2013.740     Document Type: Note

References (12)

1. National Resident Matching Program. Results and data: 2012 main residency match. April 2012. http://www.nrmp.org/data/resultsanddata2012 .pdf. Accessed December 12, 2012.
2. Pfuntner A, Levit K, Elixhauser A. Healthcare Cost and Utilization Project: Components of cost increases for inpatient hospital procedures, 1997-2009. May 2012. Statistical brief 133. http://www.hcup-us.ahrq.gov/reports/ statbriefs/sb133.jsp. Accessed February 14, 2013.
3. Fletcher KE, Reed DA, Arora VM. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules. J Gen Intern Med. 2011;26(8):907-919.
4. Desai SV, Feldman L, Brown L, et al. Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: A randomized trial [published online March 25, 2013]. JAMA Intern Med. 2013;173(8): 649-655.
5. Auger KA, Landrigan CP, Gonzalez del Rey JA, Sieplinga KR, Sucharew HJ, Simmons JM. Better rested, but more stressed? evidence of the effects of resident work hour restrictions. Acad Pediatr. 2012;12(4):335-343.
6. Schuh LA, Khan MA, Harle H, et al. Pilot trial of IOMduty hour recommendations in neurology residency programs: Unintended consequences. Neurology. 2011;77(9):883-887.
7. Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations-a follow-up national survey. N Engl J Med. 2012;366(24): E35. http://www.nejm.org/doi/full/10.1056/NEJMp1202848. Accessed February 10, 2013.
8. McMahon GT, Katz JT, Thorndike ME, Levy BD, Loscalzo J. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010; 362(14):1304-1311.
9. Thanarajasingam U, McDonald FS, Halvorsen AJ, et al. Service census caps and unit-based admissions: Resident workload, conference attendance, duty hour compliance, and patient safety. Mayo Clin Proc. 2012;87(4):320-327.
10. O'Connor AB, Lang VJ, Bordley DR. Restructuring an inpatient resident service to improve outcomes for residents, students, and patients. Acad Med. 2011;86(12):1500-1507.
11. Record JD, Rand C, Christmas C, et al. Reducing heart failure readmissions by teaching patient-centered care to internal medicine residents. Arch Intern Med. 2011;171(9):858-859.
12. Averbukh Y, Southern W. The impact of the number of admissions to the inpatient medical teaching team on patient safety outcomes. JGrad Med Educ. 2012;4(3):307-311.