ArticleAcademic medicine : journal of the Association of American Medical Colleges2012
Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Text Message (SMS) Microlearning for Tobacco Use Disorder: Pre-Post Pilot Study of Clinician Confidence.JMIR medical education · 2025Article
- The Short-Term Impacts of Japan's 2024 Physician Working-Hour Limits on Labor Conditions, Self-Directed Professional Development, and Happiness Among Obstetrician-Gynecologists.The journal of obstetrics and gynaecology research · 2025Article
- How Will Work Hour Restrictions Transform the Working Conditions of Resident Physicians?JMA journal · 2025Article
- The effects of resident work hours on well-being, performance, and education: A review from a Japanese perspective.Journal of general and family medicine · 2023Article
- Quantitative and qualitative perceptions of the 2011 residency duty hour restrictions: a multicenter, multispecialty cross-sectional study.BMC medical education · 2015Article
- The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit.Journal of graduate medical education · 2015Article
- Survey of internal medicine physicians trained in three different eras: reflections on duty-hour reform.Southern medical journal · 2014Article
- Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease?International review of psychiatry (Abingdon, England) · 2014Review
- Are duty hour regulations promoting a culture of dishonesty among resident physicians?Journal of graduate medical education · 2013Article
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Authors and funding
5 authors.
Funding
Abstract
purposeTo gauge internal medicine (IM) trainees' perceptions regarding aspects of their inpatient rotations, including supervision, educational opportunities, the perceived effect of duty hours regulations on quality of patient care, the causes of medical errors, and sleep.
methodThe authors analyzed the results of questionnaires administered to trainees following the October 2009 in-training examinations (ITE).
resultsOf the 21,768 IM trainees in postgraduate years 1 through 3 who took the IM-ITE, 18,272 (83.9%) responded. The majority of these trainees (87.7%) reported that supervision was adequate, and nearly half (46.3%) reported insufficient or minimal time to participate in learning activities. Two-thirds or more thought that specific work regulations such as limited shift length and more time off after nights and extended shifts would at least "occasionally," if not "usually" or "always," improve patient care. IM trainees at least "occasionally" attributed errors to workload (68.8% of respondents), fatigue (66.9%), inexperience or lack of knowledge (61.0%), incomplete handoffs (60.2%), and insufficient ancillary staff (53.5%). IM trainees' sleep hours were limited during extended and overnight shifts.
conclusionsIM trainees agree that limited educational opportunities are the weakest part of the average inpatient rotation. Few have complaints about the adequacy of supervision. These trainees' optimism regarding the positive influence of potential work hours restrictions on patient care and their views of likely causes of medical errors suggest the need for innovative patient care schedules and education curricula.
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