ArticleJournal of general internal medicine2006
Internal medicine residents' clinical and didactic experiences after work hour regulation: a survey of chief residents.
Article in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
4 citing papers in PubMed.
- Assessing the effects of the 2003 resident duty hours reform on internal medicine board scores.Academic medicine : journal of the Association of American Medical Colleges · 2014Article
- Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.Journal of general internal medicine · 2012Article
- Relationships of the location and content of rounds to specialty, institution, patient-census, and team size.PloS one · 2010Article
- The impact of the internal medicine sub-internship on medical student career choice.Journal of general internal medicine · 2010Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWork hour regulations for house staff were intended in part to improve resident clinical and educational performance.
objectiveTo characterize the effect of work hour regulation on internal medicine resident inpatient clinical experience and didactic education.
designCross-sectional mail survey.
participantsChief residents at all accredited U.S. internal medicine residency programs outside New York. MEASUREMENTS AND MAIN
resultsThe response rate was 62% (202/324). Most programs (72%) reported no change in average patient load per intern after work hour regulation. Many programs (48%) redistributed house staff admissions through the call cycle. The number of admissions per intern on long call (the day interns have the most admitting responsibility) decreased in 31% of programs, and the number of admissions on other days increased in 21% of programs. Residents on outpatient rotations were given new ward responsibilities in 36% of programs. Third-year resident ward and float time increased in 34% of programs, while third-year elective time decreased in 22% of programs. The mean weekly hours allotted to educational activities did not change significantly (12.7 vs 12.4, P = .12), but 56% of programs reported a decrease in intern attendance at educational activities.
conclusionsIn response to work hour regulation, many internal medicine programs redistributed rather than reduced residents' inpatient clinical experience. Hours allotted to educational activities did not change; however, most programs saw a decrease in intern attendance at conferences, and many reduced third-year elective time.
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