| Duty hour recommendations and implications for meeting the ACGME core competencies: views of residency directors. | |
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MedLine Citation:
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PMID: 21307391 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe the views of residency program directors regarding the effect of the 2010 duty hour recommendations on the 6 core competencies of graduate medical education. METHODS: US residency program directors in internal medicine, pediatrics, and general surgery were e-mailed a survey from July 8 through July 20, 2010, after the 2010 Accreditation Council for Graduate Medical Education (ACGME) duty hour recommendations were published. Directors were asked to rate the implications of the new recommendations for the 6 ACGME core competencies as well as for continuity of inpatient care and resident fatigue. RESULTS: Of 719 eligible program directors, 464 (65%) responded. Most program directors believe that the new ACGME recommendations will decrease residents' continuity with hospitalized patients (404/464 [87%]) and will not change (303/464 [65%]) or will increase (26/464 [6%]) resident fatigue. Additionally, most program directors (249-363/464 [53%-78%]) believe that the new duty hour restrictions will decrease residents' ability to develop competency in 5 of the 6 core areas. Surgery directors were more likely than internal medicine directors to believe that the ACGME recommendations will decrease residents' competency in patient care (odds ratio [OR], 3.9; 95% confidence interval [CI], 2.5-6.3), medical knowledge (OR, 1.9; 95% CI, 1.2-3.2), practice-based learning and improvement (OR, 2.7; 95% CI, 1.7-4.4), interpersonal and communication skills (OR, 1.9; 95% CI, 1.2-3.0), and professionalism (OR, 2.5; 95% CI, 1.5-4.0). CONCLUSION: Residency program directors' reactions to ACGME duty hour recommendations demonstrate a marked degree of concern about educating a competent generation of future physicians in the face of increasing duty hour standards and regulation. |
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Authors:
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Ryan M Antiel; Scott M Thompson; Frederic W Hafferty; Katherine M James; Jon C Tilburt; Michael P Bannon; Philip R Fischer; David R Farley; Darcy A Reed |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2011-02-09 |
Journal Detail:
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Title: Mayo Clinic proceedings. Mayo Clinic Volume: 86 ISSN: 1942-5546 ISO Abbreviation: Mayo Clin. Proc. Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-02 Completed Date: 2011-05-31 Revised Date: 2011-09-13 |
Medline Journal Info:
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Nlm Unique ID: 0405543 Medline TA: Mayo Clin Proc Country: United States |
Other Details:
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Languages: eng Pagination: 185-91 Citation Subset: AIM; IM |
Affiliation:
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Mayo Medical School, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accreditation
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organization & administration* Attitude of Health Personnel* Clinical Competence Education, Medical, Graduate / organization & administration* Female General Surgery / education Humans Internal Medicine / education Internship and Residency / organization & administration* Male Middle Aged Pediatrics / education Physician Executives / psychology* United States Work Schedule Tolerance / psychology Workload / legislation & jurisprudence*, psychology |
| Grant Support | |
ID/Acronym/Agency:
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UL1RR024150/RR/NCRR NIH HHS |
| Comments/Corrections | |
Comment In:
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Mayo Clin Proc. 2011 Mar;86(3):179-80
[PMID:
21364109
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Mayo Clin Proc. 2011 Jul;86(7):703; author reply 706-8 [PMID: 21719626 ] Mayo Clin Proc. 2011 Mar;86(3):176-8 [PMID: 21364108 ] Mayo Clin Proc. 2011 Jul;86(7):705-6; author reply 706-8 [PMID: 21719627 ] Mayo Clin Proc. 2011 Jul;86(7):703-5; author reply 706-8 [PMID: 21719625 ] |
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