Residency

Study: Limiting shifts for first-year residents doesn't affect education outcomes

Residency Program Insider, March 23, 2018

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Educational outcomes among first-year residents in programs governed by standard ACGME duty-hour polices did not differ from those in programs with more flexible policies, according to the results of the Individualized Comparative Effectiveness of Models Optimizing Patient Safety and Resident Education (iCOMPARE) trial recently published in The New England Journal of Medicine.

The iCOMPARE trial tracked the activities of first-year residents in 63 internal medicine training programs nationwide during the 2015-2016 academic year. Trained observers followed the daily routines of 80 residents—44 in programs with flexible duty-hour policies and 36 in programs limiting shift lengths.

Results from the trial showed no significant difference in the proportion of time that first-year residents spent on direct patient care and education. However, residents in the flexible programs were less satisfied with their educational experience than those in standard programs.

Source: The New England Journal of Medicine



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