Evidence map›Paper›PMID 32472485›Full record

ArticleJournal of general internal medicine2020

Why Residencies Should Fly: Towards a Logical Approach to Duty Hour Reform.

Gina Luciano, Lydia Hambour, Paul Luciano, Eric Holmboe, Sudeep Aulakh, Simon Fleming, Michael Rosenblum

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Gina LucianoBaystate Health, Springfield, MA, USA. Gina.Luciano@baystatehealth.org.
Lydia HambourRocket Lab, Auckland, New Zealand.
Paul LucianoJetBlue Airways Corporation, New York City, NY, USA.
Eric HolmboeAccreditation Council for Graduate Medical Education, Chicago, IL, USA.
Sudeep AulakhBaystate Health, Springfield, MA, USA.
Simon FlemingBarts and The London School of Medicine and Dentistry, London, UK.
Michael RosenblumRoss University School of Medicine, Bridgetown, Barbados.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 2011, aviation has revolutionized their approach to safety. The aviation industry has adopted a multi-faceted approach to improve safety through decreasing duty hour limits and implementing processes to mitigate fatigue-related errors as well as creating cultural shifts in responsibility for safety. These changes have been guided by data generated by quality-improvement methodology. In contrast, duty hour limits in graduate medical education have not yet seen dramatic data-driven reform. Key advancements in aviation fatigue mitigation and implications for residency education are explored in this article. Scientifically based processes to optimize duty hours, quality-improvement strategies to iteratively monitor and reform duty limits, systematic change focusing on a just culture, and financial disincentives and incentives as a catalyst for change are discussed.

Indexed as

Internship and ResidencyEducation, Medical, GraduateFatigueHumansPersonnel Staffing and SchedulingWorkloadWork Schedule Toleranceaviationduty hoursfatiguegraduate medical educationpatient safetywellness

Identifiers

PMID32472485
PMCPMC7661564

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.