| Persistent noncompliance with the work-hour regulation. | |
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MedLine Citation:
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PMID: 21339428 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the reason for noncompliance with the work-hour regulation by surgical residents. DESIGN: Nationwide anonymous survey (November 1, 2007, to March 1, 2008). SETTING: Academic center. PARTICIPANTS: Surgical residents throughout the United States. MAIN OUTCOME MEASURES: Incidence of noncompliance remains high and reasons for noncompliance are multifactorial. RESULTS: The first 141 questionnaires returned were included in this analysis. Responders consisted of postgraduate year (PGY)-1 (32.6%), PGY-2 (19.1%), PGY-3 (17.7%), PGY-4 (13.5%), and PGY-5 (17.0%) surgical residents. Many residents were categorical (79.4%), male (61.7%), and married (53.2%). Ninety-eight percent of residents were aware of the work-hour regulation, with 72.1% of residents in favor of it. However, noncompliance with the work-hour regulation was 64.6%, with 21.1% of residents working more than 90 h/wk (average, 86.6 h/wk). The most problematic regulations to follow were "at least 10 hours of rest between duty hours" (36.9%), "24-hour limit of continuous care plus 6 additional hours for continuity of care and educational objectives" (26.1%), and "80-hour work limit over 4 weeks" (22.7%). Education and continuity in patient care were the main reasons associated with noncompliance. Noncompliance was highest in trauma (25.2%) and vascular surgery (16.3%) residents. In addition, 65.2% of the attending physicians do not agree with implementing work-hour regulation standards in the surgical faculty. CONCLUSIONS: The survey demonstrates that noncompliance with the work-hour regulation is prevalent. The reasons for noncompliance are multifactorial. These findings will help restructure training programs in the efforts to increase compliance with the work-hour regulation. |
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Authors:
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Parissa Tabrizian; Uma Rajhbeharrysingh; Sergey Khaitov; Celia M Divino |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 146 ISSN: 1538-3644 ISO Abbreviation: Arch Surg Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: United States |
Other Details:
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Languages: eng Pagination: 175-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, The Mount Sinai Medical Center, 5 E 98th St, PO Box 1259, 15th Floor, New York, NY 10029. celia.divino@mountsinai.org. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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