The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 3 , Pages 710-713 , March 2009

Effect of work-hour restriction on operative experience in cardiothoracic surgical residency training

  • Rafe C. Connors, MD

      Affiliations

    • University of Utah Affiliated Hospitals, Salt Lake City, UT
    • ,
  • John R. Doty, MD

      Affiliations

    • University of Utah Affiliated Hospitals, Salt Lake City, UT
    • Corresponding Author InformationAddress for reprints: John R. Doty, MD, Division of Cardiovascular and Thoracic Surgery, Eccles Outpatient Center, Suite 600, Intermountain Medical Center, Murray, UT 84157.
    • ,
  • David A. Bull, MD

      Affiliations

    • University of Utah Affiliated Hospitals, Salt Lake City, UT
    • ,
  • Heidi T. May

      Affiliations

    • Intermountain Medical Center, Murray, UT
    • ,
  • David A. Fullerton, MD

      Affiliations

    • University of Colorado, Aurora, Co
    • ,
  • Robert C. Robbins, MD

      Affiliations

    • Stanford University, Stanford, Calif

Received 28 June 2008 ,Revised 30 October 2008 ,Accepted 24 November 2008.

References 

  1. Accreditation Council for Graduate Medical Education. Report of the ACGME work group on resident duty hours [ACGME Web site]. Available at: http://www.acgme.org/dutyhours/wkgroupreport611.pdf. Accessed June 2008.
  2. Zinner MJ. Surgical residencies: are we still attracting the best and the brightest?. Bull Am Coll Surg. 2002;87:20–25
  3. Niederee MJ, Knudtson JL, Byrnes MC, Helmer SD, Smith RS. A survey of residents and faculty regarding work hour limitations in surgical training programs. Arch Surg. 2003;138:663–671
  4. Mendoza KA, Britt LD. Resident operative experience during the transition to work-hour reform. Arch Surg. 2005;140:137–147
  5. Carlin AM, Gasevic E, Shepard AD. Effect of the 80-hour work week on resident operative experience in general surgery. Am J Surg. 2007;193:326–330
  6. Tran J, Lewis R, de Virgilio C. The effect of the 80-hour work week on general surgery resident operative case volume. Am Surg. 2006;72:924–928
  7. Jarman BT, Miller MR, Brown RS, Armen SB, Bozaan AG, Ho GT, et al. The 80-hour work week: will we have less-experienced graduating surgeons?. Curr Surg. 2004;61:612–615
  8. Naylor RA, Rege RV, Valentine RJ. Do resident duty hour restrictions reduce technical complications of emergency laparoscopic cholecystectomy?. J Am Coll Surg. 2005;201:724–731
  9. Ferguson CM, Kellogg KC, Hutter MM, Warshaw AL. Effect of work-hour reforms on operative case volume of surgical residents. Curr Surg. 2005;62:535–538
  10. Feanny MA, Scott BG, Mattox KL, Hirshberg A. Impact of the 80-hour work week on resident emergency operative experience. Am J Surg. 2005;190:947–949
  11. Barden CB, Specht MC, McCarter MD, Daly JM, Fahey TJ. Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195:531–538
  12. de Virgilio C, Yaghoubian A, Lewis RJ, Stabile BE, Putnam BA. The 80-hour resident workweek does not adversely affect patient outcomes or resident education. Curr Surg. 2006;63:435–439
  13. Gelfand DV, Podnos YD, Wilson SE, Cooke J, Williams RA. Choosing general surgery: insights into career choices of current medical students. Arch Surg. 2002;137:941–947
  14. Bland KI, Isaacs G. Contemporary trends in student selection of medical specialties: the potential impact on general surgery. Arch Surg. 2002;137:259–267
  15. Leibrandt TJ, Pezzi CM, Fassler SA, Reilly EF, Morris JB. Has the 80-hour work week had an impact on voluntary attrition in surgery residency programs. J Am Coll Surg. 2006;202:340–344

 Read at the Thirty-fourth Annual Meeting of the Western Thoracic Surgical Association, Kona, Hawaii, June 25–28, 2008.

PII: S0022-5223(08)02064-3

doi: 10.1016/j.jtcvs.2008.11.038

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 3 , Pages 710-713 , March 2009

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