Ethical considerations in the development of the flexibility in duty hour requirements for surgical trainees trial

JAMA Surgery

Volumn 152, Issue 1, 2017, Pages 7-8

  Minami, Christina A ^a   Odell, David D ^a   Bilimoria, Karl Y ^a  

^a NORTHWESTERN MEMORIAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EQUIPOISE; GENERAL SURGERY; HEALTH CARE DELIVERY; HUMAN; MEDICAL ETHICS; PRIORITY JOURNAL; PROFESSIONAL DEVELOPMENT; SHORT SURVEY; SURGICAL TRAINING; TREATMENT OUTCOME; WORKING TIME; EDUCATION; ETHICS; MEDICAL EDUCATION; PERSONNEL MANAGEMENT; STANDARDS; SURGEON; UNITED STATES; WORK SCHEDULE; WORKLOAD;

HUMANS; INTERNSHIP AND RESIDENCY; PERSONNEL STAFFING AND SCHEDULING; SURGEONS; UNITED STATES; WORK SCHEDULE TOLERANCE; WORKLOAD;

EID: 85012905716     PISSN: 21686254     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamasurg.2016.3198     Document Type: Short Survey

References (8)

1. Bilimoria KY, Chung JW, Hedges LV, et al. National cluster-randomized trial of duty-hour flexibility in surgical training. N Engl J Med. 2016; 374(8):713-727.
2. Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes. Ann Surg. 2014;259 (6):1041-1053.
3. US Dept of Health and Human Services. Regulations and policy. http://www.hhs.gov/ohrp/regulations-And-policy/index.html. Accessed November 17, 2015.
4. Carome MA, Wolfe SM, Almashat S, Hall DV. Letter to Jerry Menikoff, director, and Kristina Borror, director, Division of Compliance Oversight, Office for Human Research Protections, Department of Health and Human Services, regarding FIRST Trial; November 19, 2015. http://www.citizen.org/documents/2284.pdf. Accessed September 9, 2016.
5. Philibert I, Nasca T, Brigham T, Shapiro J. Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? Annu Rev Med. 2013; 64:467-483.
6. Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. JAMA. 2014;312(22):2374-2384.
7. Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. JAMA. 2014;312(22):2364-2373.
8. 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. JAMA Intern Med. 2013;173(8):649-655.