One size doesn't fit all
Residency Program Insider, April 4, 2014
Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!
Limiting residents to 16-hour shifts appears to have led to negative consequences for surgery patients and trainees, a recent review published in the Annals of Surgery suggests.
A team of reviewers, led by Najma Ahmed, MD, of the Department of Surgery at the University of Toronto, drew their conclusions from an analysis of 57 studies examining resident duty hours.
Limiting work hours to shifts of less than 24 hours hasn’t led to significant improvements in resident wellness, but has “potentially deleterious consequences for patient and training outcomes,” the reviewers wrote.
They found no evidence that patient safety overall had improved under duty hour restrictions and noted that some research has suggested seriously ill patients have suffered more complications.
In some medical specialties, certification exam scores have declined since the introduction of duty hour restrictions, the authors wrote. They called the trend of poorer performance on American Board of Surgery certification exams “concerning.”
“It is clear that a ‘one-size ?ts all,’ solution to the issue of [resident duty hour] restrictions is not appropriate for all medical disciplines,” the authors wrote. “A more tailored and discipline speci?c approach is required such that training objectives and patient outcomes are protected.”
Want to receive articles like this one in your inbox? Subscribe to Residency Program Insider!
Related Products
-
Residency Program Alert
Residency program managers in all specialties are challenged to effectively manage their programs as accrediting agencies...
-
Residency Program Insider
Residency Program Connection is devoted to bringing residency directors and coordinators expert advice, best practice...
Most Popular
- Articles
-
- What does case-mix index mean to you?
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Complications from immobility by body system
- Nursing responsibilities for managing pain
- Q&A: Primary, principal, and secondary diagnoses
- Neurological checks for head injuries
- Prevent dehydration with nursing interventions
- Pneumonia with a negative chest x-ray: Clinical diagnoses, physician documentation, and coding guidelines
- E-mailed
-
- CPT coding for urgent care clinics
- Performing a SWOT analysis
- The pros and cons of bar coding
- Rules & Regulations: JCAHO
- Q&A: Monitoring contracted services
- Patient testimonials lead to HIPAA breach
- Note from the Instructor: Provider-Based vs. Freestanding Locations: Financials Flip-flop with New Packaging
- Learn to code for robotic-assisted surgery, as new technologies become more commonplace
- Hospital Billing from A to Z: 3- and 1-day rules
- Clear up confusion surrounding medical necessity
- Searched
