Anticipated Consequences of the 2011 Duty Hours Standards
| Autor: | Stephanie Call, Judy A. Shea, Kamal M.F. Itani, Vineet M. Arora, Michael Adams, Furman S. McDonald, Saima Chaudhry, Karen M. Chacko, Lisa L. Willett, Karen R. Borman, Kevin G. Volpp |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Faculty Medical Attitude of Health Personnel Duty hours education Graduate medical education MEDLINE Workload Faculty medical Article Education Patient safety Surveys and Questionnaires Internal medicine Internal Medicine medicine Humans health care economics and organizations Accreditation Medical education business.industry Extramural Internship and Residency General Medicine Continuity of Patient Care United States Surgery Education Medical Graduate General Surgery Patient Safety business |
| Zdroj: | Academic Medicine. 87:895-903 |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/acm.0b013e3182584118 |
| Popis: | To assess internal medicine (IM) and surgery program directors' views of the likely effects of the 2011 Accreditation Council for Graduate Medical Education duty hours regulations.In fall 2010, investigators surveyed IM and surgery program directors, assessing their views of the likely impact of the 2011 duty hours standards on learning environment, workload, education opportunities, program administration, and patient outcomes.Of 381 IM program directors, 287 (75.3%) responded; of 225 surgery program directors, 118 (52.4%) responded. Significantly more surgeons than internists indicated that the new regulations would likely negatively impact learning climate, including faculty morale and residents' relationships (P.001). Most leaders in both specialties (80.8% IM, 80.2% surgery) felt that the regulations would likely increase faculty workload (P = .73). Both IM (82.2%) and surgery (96.6%) leaders most often rated, of all education opportunities, first-year resident clinical experience to be adversely affected (P.001). Respondents from both specialties indicated that they will hire more nonphysician/midlevel providers (59.5% IM, 89.0% surgery, P.001) and use more nonteaching services (66.8% IM, 70.1% surgery, P = .81). Respondents expect patient safety (45.1% IM, 76.9% surgery, P.001) and continuity of care (83.6% IM across all training levels, 97.5% surgery regarding first-year residents) to decrease.IM and surgery program directors agree that the 2011 duty hours regulations will likely negatively affect the quality of the learning environment, workload, education opportunities, program administration, and patient outcomes. Careful evaluation of actual impact is important. |
| Databáze: | OpenAIRE |
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