TITLE

The Effect of the 80-Hour Work Week on General Surgery Resident Operative Case Volume

AUTHOR(S)
Tran, Julie; Lewis, Roger; De Virgilio, Christian
PUB. DATE
October 2006
SOURCE
American Surgeon;Oct2006, Vol. 72 Issue 10, p924
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
To meet the new duty hour restrictions on July 1, 2003, our general surgery residency program underwent many changes. The purpose of this study was to examine whether the implementation of these changes, made in part to comply with new duty hour restrictions, would adversely impact general surgery residents' operative volume. The operative cases of categorical surgical residents were recorded from July 1, 2000 to December 31, 2004. The main outcome measure was the median number of operative cases performed by each resident per quarter (a 3-month period). The number of in-house calls each resident took per quarter was also recorded. From 2000 to 2004, the median number of in-house calls per quarter significantly decreased (27, 25, 15, 10, and 14, respectively; P < 0.001). The median number of operative procedures performed did not vary from quarter to quarter (P = 0.49). There was a trend toward an increase in number of cases performed at the postgraduate year (PGY) 1 (P = 0.07) and 2 (P = 0.04) levels, a decrease at the PGY3 level (P = 0.058), and no change at the PGY4 and 5 years. The 80-hour work week did not adversely affect the operative experience of our categorical surgical residents despite significant reductions of in-house call.
ACCESSION #
22667477

 

Related Articles

  • Elimination of 24-hour continuous medical resident duty in Quebec. Hamadani, Fadi; Deckelbaum, Dan; Shaheen, Mohammed; SauvĂ©, Alexandre; Dumitra, Sinziana; Ahmed, Najma; Latulippe, Jean-François; Balaa, Fady; Walsh, Mark; Fata, Paola // Canadian Journal of Surgery;Feb2016, Vol. 59 Issue 1, p67 

    Summary: In 2012 Quebec limited continuous in-hospital duty to 16 consecutive hours for all residents regardless of postgraduate (PGY) level. The new restrictions in Quebec appeared to have a profound, negative effect on the quality of life of surgical residents at McGill University...

  • BJCVS on social networks. BRAILE, Domingo M. // Brazilian Journal of Cardiovascular Surgery;jul-set2012, Vol. 27 Issue 3, pI 

    An introduction to the journal is presented in which the editor discusses various reports within the issue on topics including cardiovascular surgery continuing medical education (CME), valve-in-valve transcatheter implant, and patients' survival undergoing cardiac transplantation .

  • Effect of Resident Postgraduate Year on Outcomes After Laparoscopic Appendectomy for Appendicitis in Children. Naiditch, Jessica A.; Lautz, Timothy B.; Raval, Mehul V.; Madonna, Mary Beth; Barsness, Katherine A. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Sep2012, Vol. 22 Issue 7, p715 

    Purpose: The purpose of this study was to determine if the postgraduate level of resident in the operating room correlates with outcomes for pediatric patients undergoing laparoscopic appendectomy. Subjects and Methods: The charts of all children who underwent laparoscopic appendectomy for...

  • Surgical Skills Simulation Center Implementation: Healthcare Continuous Quality Improvement Project. Nwanodi, Oroma // Health Science Journal;2016, Vol. 10 Issue 6, p1 

    In the United States, upon resident work hour restriction implementation, obstetrics and gynaecology residents' gynaecologic surgery volume decreased and operative time per caesarean delivery increased. High volume surgeons can have clinically significantly lower complication rates than low...

  • Train Physicians Right The First Time-In Residency. Legnini, Mark W. // Health Affairs;Dec2013, Vol. 32 Issue 12, p2225 

    A letter to the editor is presented in response to an article by Mark Chassin about the quality of care in the October 2013 issue.

  • UPCOMING CME EVENTS.  // Hawaii Medical Journal;Dec2010, Vol. 69 Issue 12, p303 

    A calendar of events related to continuing medical education (CME) is presented, including the Mayo Clinic Interactive Surgery Symposium in Maui, Hawaii from February 13-18, 2011, High Risk Hawai'i 2011 in O'ahu from February 16-20, and the Queen's Medical Center Minimally Invasive Surgery...

  • ACES & SEE present the SEE Island / Quality Surgery XX Seminar at the Marriott Frenchman's Reef St. Thomas USVI February 17-21, 2006.  // Ophthalmology Times;9/15/2005, Vol. 30 Issue 18, p63 

    Announces the SEE Island/Quality Surgery XX continuing medical education seminar to be presented by the American College of Eye Surgeons and Society for Excellence in Eyecare at the Marriott Frenchman's Reef St. Thomas U.S. Virgin Islands on February 17-21, 2006. Schedules of activities; Topics...

  • Continuing Medical Education Questions: November 2012. DeVault, Kenneth R; Macaron, Carole; Kumaravel, Arthi; Mehta, Paresh; Albeldawi, Mazen // American Journal of Gastroenterology;Nov2012, Vol. 107 Issue 11, p1634 

    A continuing medical education quiz related to the surgical management of pelvic floor disorders is presented.

  • Continuing Medical Education: June 2009.  // American Journal of Gastroenterology;Jun2009, Vol. 104 Issue 6, p1547 

    The article offers information on a program on determining the difference between open and laparoscopic anti-reflux surgery designated by the American College of Gastroenterology. The program is developed for physicians in gastroenterology and hepatology, physician assistants, nurse...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics