Effects of limited work hours on surgical training

摘要: Abstract BACKGROUND: Legal mandates to reduce resident work hours have prompted changes in the structure of surgical training programs. Such included modification on-call schedules and adoption "night float" coverage. Little is known about effects these on education perceptions quality patient care. STUDY DESIGN: The housestaff faculty at a single institution completed 21-point Likert survey. Subjects were asked compare parameters education, care, life before after strict 80-hour week schedule. number worked per reported. American Board Surgery In-Training Examination (ABSITE) scores compared for 2 years implementation this Total cases performed by graduating chief residents recorded 3 schedule changes. RESULTS: Resident reduced significantly implemented. A majority reported an improvement life, but perceived negative impact continuity Mean ABSITE composite percentile improved reduction working hours. junior significantly; no significant differences noted senior residents. CONCLUSIONS: Reduction has salutary perception basic These benefits may come expense particularly This study did not directly assess outcomes caregivers suggest that care be compromised. Further research needed longterm both patients.