| Pilot trial of IOM duty hour recommendations in neurology residency programs: unintended consequences. | |
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MedLine Citation:
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PMID: 21795650 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study the potential effect of the 2008 Institute of Medicine (IOM) work duty hour (WDH) recommendations on neurology residency programs. METHODS: This study evaluated resident sleepiness, personal study hours, quality of life, and satisfaction and faculty satisfaction during a control month using the Accreditation Council for Graduate Medical Education WDH requirements and during an intervention month using the IOM WDH recommendations. Resident participation in both schedules was mandatory, but both resident and faculty participation in the outcome measures was voluntary. RESULTS: Thirty-four residents (11 postgraduate year [PGY]-4, 9 PGY-3, and 14 PGY-2) participated. End-of-work shift sleepiness, mean weekly sleep hours, personal study hours, and hours spent in lectures did not differ between the control and intervention months. Resident quality of life measured by the Maslach Burnout Inventory declined for 1 subscore in the intervention month (p = 0.03). Resident education satisfaction declined during the intervention month for issues related to continuity of care, patient hand-offs, and knowledge of their patients. Faculty satisfaction declined during the intervention month, without a decline in quality of life. CONCLUSIONS: The results from 3 residency programs suggest that the IOM WDH recommendations may negatively affect neurology resident education. This study was limited by the short duration of implementation, negative bias against the IOM recommendations, and inability to blind faculty. Additional study of the IOM WDH recommendations is warranted before widespread implementation. |
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Authors:
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L A Schuh; M A Khan; H Harle; A M Southerland; W J Hicks; A Falchook; L Schultz; G R Finney |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2011-07-27 |
Journal Detail:
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Title: Neurology Volume: 77 ISSN: 1526-632X ISO Abbreviation: Neurology Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-08-30 Completed Date: 2011-10-27 Revised Date: 2011-12-07 |
Medline Journal Info:
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Nlm Unique ID: 0401060 Medline TA: Neurology Country: United States |
Other Details:
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Languages: eng Pagination: 883-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurology, Henry Ford Hospital, Detroit, MI 48202, USA lschuh@neuro.hfh.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Institute of Medicine (U.S.)* Internship and Residency / methods, standards* Male Neurology / methods, standards* Personnel Staffing and Scheduling / standards* Pilot Projects Prospective Studies Sleep Deprivation / complications, prevention & control United States Workload / standards* |
| Comments/Corrections | |
Comment In:
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Neurology. 2011 Aug 30;77(9):816-7
[PMID:
21795657
]
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Erratum In:
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Neurology. 2011 Nov 1;77(18):1712 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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