ArticleAcademic medicine : journal of the Association of American Medical Colleges2013
The effect of reducing maximum shift lengths to 16 hours on internal medicine interns' educational opportunities.
Article in Academic medicine : journal of the Association of American Medical Colleges, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effect of Restricting Residents' Duty Hours on Patient Safety, Resident Well-Being, and Resident Education: An Updated Systematic Review.Journal of graduate medical education · 2015Pooled it
- Exploring sleep duration and clinical reasoning process in resident physicians: a thematic analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- An Opportunity for Change: Principles for Reforming Internal Medicine Inpatient Conferences.Journal of general internal medicine · 2024Article
- Quantification of Internal Medicine Resident Inpatient Care Using the Diagnosis Procedure Combination Database.Internal medicine (Tokyo, Japan) · 2022Article
- Learner Preference of Schedule Type Improves Engagement of Pediatric Residents: Results of a Mixed-Methods Analysis.Medical science educator · 2020Article
- The Association Between Resident Physician Work-Hour Regulations and Physician Safety and Health.The American journal of medicine · 2020Article
- Implementation of 2011 Duty Hours Regulations through a Workload Reduction Strategy and Impact on Residency Training.Journal of general internal medicine · 2016Article
- Changes in mortality on weekend versus weekday admissions for Acute Coronary Syndrome in the United States over the past decade.International journal of cardiology · 2016Article
- Quantitative and qualitative perceptions of the 2011 residency duty hour restrictions: a multicenter, multispecialty cross-sectional study.BMC medical education · 2015Article
- Educational Conference Scheduling, Patient Discharge Time, and Resident Satisfaction.Journal of graduate medical education · 2014Article
- Survey of internal medicine physicians trained in three different eras: reflections on duty-hour reform.Southern medical journal · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
purposeTo evaluate educational experiences of internal medicine interns before and after maximum shift lengths were decreased from 30 hours to 16 hours.
methodThe authors compared educational experiences of internal medicine interns at Vanderbilt University Medical Center before (2010; 47 interns) and after (2011; 50 interns) duty hours restrictions were implemented in July 2011. The authors compared number of inpatient encounters, breadth of concepts in notes, exposure to five common presenting problems, procedural experience, and attendance at teaching conferences.
resultsFollowing the duty hours restrictions, interns cared for more unique patients (mean 118 versus 140 patients per intern, P = .005) and wrote more history and physicals (mean 73 versus 88, P = .005). Documentation included more total concepts after the 16-hour maximum shift implementation, with a 14% increase for history and physicals (338 versus 387, P < .001) and a 10% increase for progress notes (316 versus 349, P < .001). There was no difference in the median number of selected procedures performed (6 versus 6, P = 0.94). Attendance was higher at the weekly chief resident conference (60% versus 68% of expected attendees, P < .001) but unchanged at morning report conferences (79% versus 78%, P = .49).
conclusionsIntern clinical exposure did not decrease after implementation of the 16-hour shift length restriction. In fact, interns saw more patients, produced more detailed notes, and attended more conferences following duty hours restrictions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.