Surgeon workhours in the era of limited resident workhours.

作者: Emily R Winslow , Michele C Bowman , Mary E Klingensmith

DOI: 10.1016/J.JAMCOLLSURG.2003.08.019

关键词: OtorhinolaryngologyAcademic institutionGeneral surgeryResident educationSurgical educationSubspecialtyMedicineSurgeryOrthopedic surgery

摘要: Abstract Background Resident workhours have received much attention, yet there is little information concerning faculty workhours. In addition, the perspectives of surgical on anticipated effects reducing resident hours not been studied. Study design An anonymous survey was distributed to all clinical in Departments Surgery, Neurosurgery, Orthopaedics, and Otolaryngology at a single, large academic institution. Surgeons completed detailed retrospective report worked during 1-week period. Opinions regarding workhour restrictions were also elicited. Chi-square or Student's t -tests used determine p values as appropriate, with ≤ 0.05 considered significant. Results Of 120 surveys distributed, 102 (85%) returned. Subspecialty departments comprised 51% respondents 49% from general surgeons. The mean number per week by 70.4 ± 12.5 (SD) (73.8 14.1 for surgeons versus 67.1 9.9 subspecialists, p=0.006), only 44.1% having least 1 day free duties. Up 95% are paged overnight once (mean 13.6 11.2 calls/week), 73% returning home 1.8 1.1 returns/week). Importantly, 84% believe will increase hours, compared 57% subspecialists (p = 0.004). 87% predict that compromise education, 11% believing benefits hour reduction outweigh negatives. Conclusions recommended limit closely approximates average an center. Despite this, significant concern exists among majority impact restriction, both education.

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