ArticleJournal of general and family medicine2023
The effects of resident work hours on well-being, performance, and education: A review from a Japanese perspective.
Article in Journal of general and family medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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Who cites it
18 citing papers in PubMed.
- The global surgical workforce crisis: narrative review of the role of surgical educator development and technological innovations.Surgery today · 2026Review
- Early impact of Japan's 2024 physician work hour reform on cardiovascular revascularization: a multi-center interrupted time series analysis using a National-Level DPC database.Cardiovascular intervention and therapeutics · 2026Article
- Educational Impact of Artificial Intelligence-Navigation Surgery on Anatomical Landmark Recognition in Medical Students.Annals of gastroenterological surgery · 2026Article
- Comparison of Workplace Social Capital between the Pre- and Post-Restriction Eras of Physician Working Hours: A Nationwide Repeated Cross-Sectional Study.JMA journal · 2026Article
- Burnout in Japanese Internists and Primary Care Physicians in 2024: The Prevalence and Risk Factors Using Structural Equation Modeling.Internal medicine (Tokyo, Japan) · 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
- Medical students' perceptions of professional mission in an AI-driven healthcare future: a text mining analysis of reflective essays in Japan.Journal of rural medicine : JRM · 2025Article
- Educational environment changes toward resident duty hour restrictions in Japan.Scientific reports · 2025Article
- Involvement of anesthesiologists in pediatric sedation and analgesia outside the operating room in Japan: is it too late, or is there still time?Journal of anesthesia · 2025Review
- Association between residents' work hours and patient care ownership: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Association of clinical knowledge with patient care ownership among resident physicians: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- How Will Work Hour Restrictions Transform the Working Conditions of Resident Physicians?JMA journal · 2025Article
- Optimal Working Hours in the 2024 Physician Work Reform: Insights from a Residency Program Director.Advances in medical education and practice · 2025Article
- Association of sleep quality with duty hours, mental health, and medical errors among Japanese postgraduate residents: a cross-sectional study.Scientific reports · 2024Article
- Residency Program Directors' Perspectives on Overtime Duty Hours and Professional Development Time in Japan.Advances in medical education and practice · 2024Article
- Protecting sleep for the well-being of physicians and their patients.Industrial health · 2024Article
- 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
- Access to Medical Residency: A Qualitative Study of Medical Graduates' Experiences in Georgia.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article examines the impact of working-hour restrictions on the well-being, performance, and education of medical residents in Japan. Despite Japan's plan to introduce new regulations for resident working hours by 2024, there is still an ongoing debate regarding their appropriateness. This review provides a comprehensive overview of the current regulations of resident working hours worldwide, with a specific focus on weekly hours. The varying regulations are highlighted, including the 80-hour-per-week regulation in the United States and the 48-h-per-week regulation in the European Union influencing other regions. The article also discusses the effectiveness of working-hour restrictions on residents' mental health, with shorter working hours having potentially greater benefits. However, the impacts on medical safety and resident education are mixed, and further reduction in working hours must be carefully considered to avoid adverse effects. The planned changes to working-hour limits for residents in Japan offer a unique opportunity to gain new evidence on the impact of such regulations, which will be of interest to policymakers and researchers worldwide.
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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.