| Effect of the ACGME duty hours restrictions on surgical residents and faculty: a systematic review. | |
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MedLine Citation:
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PMID: 21099662 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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PURPOSE: Educators in surgical training programs are concerned that the Accreditation Council for Graduate Medical Education (ACGME) duty hours limitations may adversely affect surgical residents' education, especially their operative experience, so the authors aimed to evaluate the impact of duty hours reductions on surgical residency. METHOD: The authors searched English- and French-language literature (2000-2008) for articles about the impact of duty hours restrictions on surgical residents' education and well-being and on faculty educators. They used the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and ERIC. The authors included every report that examined the effects of duty hours limits on surgical training, excluding opinion papers and editorials. Two reviewers independently performed data extraction and quality assessment for all reports and resolved disagreements by consensus. RESULTS: The authors retrieved 1,146 reports and included 56 in the study. They compiled positive and negative outcomes on (1) residents' education, (2) resident lifestyle, and (3) surgical faculty. Overall, the effects of duty hours reductions on residents' education and lifestyle were positive or neutral, but the effects on surgical faculty were negative. The 16 articles with the highest-quality scores had 27 positive themes and 11 negative themes. CONCLUSIONS: This is the largest and most current review of the literature addressing the effect of the ACGME duty hours limitations on surgical training. Limitations had a positive effect on residents but a negative effect on surgical faculty. Importantly, duty hours limitations did not adversely affect surgical residents' operating-room experience. |
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Authors:
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Mohammad H Jamal; Mathieu C Rousseau; Wael C Hanna; Suhail A R Doi; Sarkis Meterissian; Linda Snell |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 86 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 34-42 Citation Subset: AIM; IM |
Affiliation:
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General Surgery, Department of Surgery and Centre for Medical Education, Faculty of Medicine, McGill University, Montreal, Quebec, Canada. Mohammad.jamal@mail.mcgill.ca |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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