Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns

JAMA Surgery

Volumn 148, Issue 5, 2013, Pages 448-455

  Antiel, Ryan M ^a   Reed, Darcy A ^a   Van Arendonk, Kyle J ^b   Wightman, Sean C ^c   Hall, Daniel E ^d,e   Porterfield, John R ^f   Horvath, Karen D ^g   Terhune, Kyla P ^h   Tarpley, John L ^h   Farley, David R ^a  

^a MAYO CLINIC   (United States)

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

^c UNIVERSITY OF CHICAGO   (United States)

^d VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^f University of Alabama at Birmingham   (United States)

^g UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^h VANDERBILT UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCREDITATION; ADULT; ARTICLE; BURNOUT; FEMALE; HUMAN; LONGITUDINAL STUDY; MALE; PATIENT CARE; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; QUALITY OF LIFE; RESIDENT; SELF EVALUATION; SHORT FORM 8; STUDENT SATISFACTION; SURGICAL TRAINING; WELLBEING;

ACCREDITATION; ADULT; ATTITUDE OF HEALTH PERSONNEL; BURNOUT, PROFESSIONAL; CLINICAL COMPETENCE; EDUCATION, MEDICAL, GRADUATE; FEMALE; GENERAL SURGERY; HUMANS; INTERNSHIP AND RESIDENCY; LONGITUDINAL STUDIES; MALE; PERSONNEL STAFFING AND SCHEDULING; QUALITY OF LIFE; UNITED STATES; WORK SCHEDULE TOLERANCE; WORKLOAD;

EID: 84877865506     PISSN: 21686254     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamasurg.2013.1368     Document Type: Article

References (37)

1. Nasca TJ, Day SH, Amis ES Jr; ACGME Duty Hour Task Force. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3.
2. ACGME. Core competencies. http://www.acgme.org/acgmeweb/Portals/0/ PFAssets/PublicationsPapers/pp-GMEGuide.pdf. Accessed May 14, 2012.
3. Borman KR, Fuhrman GM; Association Program Directors in Surgery. "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety": response of the Association of Program Directors in Surgery to the December 2008 Report of the Institute of Medicine. Surgery. 2009;146(3):420-427.
4. Britt LD, Sachdeva AK, Healy GB, Whalen TV, Blair PG; Members of ACS Task Force on Resident Duty Hours. Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety". Surgery. 2009;146(3):398-409.
5. Lewis FR. Comment of the American Board of Surgery on the recommendations of the Institute of Medicine Report, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety". Surgery. 2009;146(3):410-419.
6. Moalem J, Brewster L, James T. Position statement on further work hour restrictions: the views of current and recent trainees. Surgery. 2009;146(3):428-429.
7. Barden CB, Specht MC, McCarter MD, Daly JM, Fahey TJ III. Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195(4):531-538.
8. Antiel RM, Thompson SM, Reed DA, et al. ACGME duty-hour recommendations: a national survey of residency program directors. N Engl J Med. 2010;363(8):e12.
9. Antiel RM, Thompson SM, Hafferty FW, et al. Duty hour recommendations and implications for meeting the ACGME core competencies: views of residency directors. Mayo Clin Proc. 2011;86(3):185-191.
10. Antiel RM, Van Arendonk KJ, Reed DA, et al. Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. Arch Surg. 2012;147(6):536-541.
11. Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250(3):463-471.
12. Balch CM, Shanafelt TD, Dyrbye L, et al. Surgeon distress as calibrated by hours worked and nights on call. J Am Coll Surg. 2010;211(5):609-619.
13. Campbell DA Jr, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ. Burnout among American surgeons. Surgery. 2001;130(4):696-702, discussion 702-705.
14. Golub JS, Weiss PS, Ramesh AK, Ossoff RH, Johns MM III. Burnout in residents of otolaryngology-head and neck surgery: a national inquiry into the health of residency training. Acad Med. 2007;82(6):596-601. (Pubitemid 46828209)
15. Yeo H, Bucholz E, Ann Sosa J, et al. A national study of attrition in general surgery training: which residents leave and where do they go? Ann Surg. 2010;252(3):529-534, discussion 534-536.
16. West CP, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA. 2011;306(9):952-960.
17. West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-1300.
18. Ware JE, Kosinski M, Dewey JE, Gandek BM. How to Score and Interpret Single-Item Health Status Measures: A Manual for Users of the SF-8 Health Survey. Lincoln, NE: RI Quality Metric Inc; 2001.
19. Ware JE Jr, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36), I: conceptual framework and item selection. Med Care. 1992;30(6):473-483.
20. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996.
21. McManus IC, Smithers E, Partridge P, Keeling A, Fleming PR. A levels and intelligence as predictors of medical careers in UK doctors: 20 year prospective study. BMJ. 2003;327(7407):139-142. (Pubitemid 36876208)
22. Cohen-Gadol AA, Piepgras DG, Krishnamurthy S, Fessler RD. Resident duty hours reform: results of a national survey of the program directors and residents in neurosurgery training programs. Neurosurgery. 2005;56(2):398-403, discussion 398-403.
23. Lieberman JD, Olenwine JA, Finley W, Nicholas GG. Residency reform: anticipated effects of ACGME guidelines on general surgery and internal medicine residency programs. Curr Surg. 2005;62(2):231-236. (Pubitemid 40425289)
24. Carlin AM, Gasevic E, Shepard AD. Effect of the 80-hour work week on resident operative experience in general surgery. Am J Surg. 2007;193(3):326-329, discussion 329-330.
25. Damadi A, Davis AT, Saxe A, Apelgren K. ACGME duty-hour restrictions decrease resident operative volume: a 5-year comparison at an ACGME-accredited university general surgery residency. J Surg Educ. 2007;64(5):256-259. (Pubitemid 350018617)
26. Kairys JC, McGuire K, Crawford AG, Yeo CJ. Cumulative operative experience is decreasing during general surgery residency: a worrisome trend for surgical trainees? J Am Coll Surg. 2008;206(5):804-811, discussion 811-813.
27. Weatherby BA, Rudd JN, Ervin TB, Stafford PR, Norris BL. The effect of resident work hour regulations on orthopaedic surgical education. J Surg Orthop Adv. 2007;16(1):19-22.
28. Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165(22):2595- 2600. (Pubitemid 41785056)
29. Businger A, Stefenelli U, Guller U. Prevalence of burnout among surgical residents and surgeons in Switzerland. Arch Surg. 2010;145(10):1013-1016.
30. Balch CM, Shanafelt T. Combating stress and burnout in surgical practice: a review. Adv Surg. 2010;44:29-47.
31. Troppmann KM, Palis BE, Goodnight JE, Ho HS, Troppmann C. Career and lifestyle satisfaction among surgeons: what really matters? the National Lifestyles in Surgery Today Survey. J Am Coll Surg. 2009;209(2):160-169.
32. Buddeberg-Fischer B, Klaghofer R, Stamm M, Siegrist J, Buddeberg C. Work stress and reduced health in young physicians: prospective evidence from Swiss residents. Int Arch Occup Environ Health. 2008;82(1):31-38.
33. McCray LW, Cronholm PF, Bogner HR, Gallo JJ, Neill RA. Resident physician burnout: is there hope? Fam Med. 2008;40(9):626-632.
34. Leibrandt TJ, Pezzi CM, Fassler SA, Reilly EF, Morris JB. Has the 80-hour work week had an impact on voluntary attrition in general surgery residency programs? J Am Coll Surg. 2006;202(2):340-344. (Pubitemid 43112495)
35. Dodson TF,Webb AL. Why do residents leave general surgery? the hidden problem in today's programs. Curr Surg. 2005;62(1):128-131. (Pubitemid 40247038)
36. Farley DR, Cook JK. Whatever happened to the General Surgery graduating class of 2001? Curr Surg. 2001;58(6):587-590. (Pubitemid 33640162)
37. Leibrandt TJ, Fassler SA, Morris JB. Attrition and replacement of general surgery residents. Surg Clin North Am. 2004;84(6):1525-1535, ix. (Pubitemid 40292194)