Evidence map›Paper›PMID 29383056›Full record

ArticleThe western journal of emergency medicine2018

ACGME Clinical and Educational Work Hour Standards: Perspectives and Recommendations from Emergency Medicine Educators.

Stephen J Wolf, Saadia Akhtar, Eric Gross, David Barnes, Michael Epter, Jonathan Fisher, Maria Moreira, Michael Smith, Hans House

Abstract read
In one paragraph

Article in The western journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Factors related to burnout in resident physicians in Japan.International journal of medical education · 2019
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stephen J WolfUniversity of Virginia School of Medicine, Department of Emergency Medicine, Charlottesville, Virginia.
Saadia AkhtarMount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York.
Eric GrossUniversity of California Davis School of Medicine, Department of Emergency Medicine, Sacramento, California.
David BarnesUniversity of California Davis School of Medicine, Department of Emergency Medicine, Sacramento, California.
Michael EpterMaricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona.
Jonathan FisherUniversity of Arizona College of Medicine- Phoenix, Maricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona.
Maria MoreiraDenver Health Medical Center, Department of Emergency Medicine, Denver, Colorado.
Michael SmithUniversity of Queensland/Ochsner Health System, Department of Emergency Medicine, New Orleans, Louisiana.
Hans HouseUniversity of Iowa Carver College of Medicine, Department of Emergency Medicine, Iowa City, Iowa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe American College of Emergency Physicians (ACEP) and the Council of Emergency Medicine Residency Directors (CORD) were invited to contribute to the 2016 Accreditation Council for Graduate Medical Education's (ACGME)

methodsIn 2016 our joint working group of experts in EM medical education conducted a consensus-based, mixed-methods process using survey data from medical education stakeholders in EM and expert iterative discussions to create organizational position statements and recommendations for revisions of work hour standards. A 19-item survey was administered to a convenience sample of 199 EM residency training programs using a national EM educational listserv.

resultsA total of 157 educational leaders responded to the survey; 92 of 157 could be linked to specific programs, yielding a targeted response rate of 46.2% (92/199) of programs. Respondents commented on the impact of clinical and educational work-hour standards on patient safety, programmatic and personnel costs, resident caseload, and educational experience. Using survey results, comments, and iterative discussions, organizational recommendations were crafted and submitted to the ACGME.

conclusionEM educators believe that ACGME clinical and educational work hour standards negatively impact the learning environment and are not optimal for promoting patient safety or the development of resident professional citizenship.

Indexed as

Congresses as TopicPhysician ExecutivesAccreditationEducation, Medical, GraduateEmergency MedicineHumansInternship and ResidencyPatient SafetyPersonnel Staffing and SchedulingSurveys and QuestionnairesUnited StatesWorkload

Identifiers

PMID29383056
PMCPMC5785201

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.