Journal of Surgical Education
Volume 64, Issue 5 , Pages 256-259 , September 2007

ACGME Duty-Hour Restrictions Decrease Resident Operative Volume: A 5-Year Comparison at an ACGME-Accredited University General Surgery Residency

  • Amir Damadi, MD

      Affiliations

    • Department of Surgery, Michigan State University College of Human Medicine, Lansing, Michigan
    • ,
  • Alan T. Davis, PhD

      Affiliations

    • Director of Research, Grand Rapids Medical Education and Research Corporation, Michigan State University College of Human Medicine, Grand Rapids, Michigan
    • ,
  • Andrew Saxe, MD

      Affiliations

    • Department of Surgery, Michigan State University College of Human Medicine, Lansing, Michigan
    • Corresponding Author InformationCorrespondence: Inquiries to Andrew Saxe, MD, Department of Surgery, Michigan State University College of Human Medicine, 1200 East Michigan Avenue, Suite 655, Lansing, MI 48912; fax: (517) 267-2488
    • ,
  • Keith Apelgren, MD

      Affiliations

    • Department of Surgery, Michigan State University College of Human Medicine, Lansing, Michigan

References 

  1. Philibert I, Friedman P, Williams WT. New requirements for resident duty hours. JAMA. 2002;288:1112–1114
  2. Dawson D, Reid K. Fatigue, alcohol and performance impairment. Nature. 1997;388:235
  3. Taffinder NJ, McManus IC, Gul Y, Russell RCG, Darzi A. Effect of sleep deprivation on surgeons’ dexterity on laparoscopy simulator. Lancet. 1998;352:1191
  4. Barger LK, Cade BE, Ayas NT, et al. Extended work shifts and the risk of motor vehicle crashes among interns. N Engl J Med. 2005;352:125–134
  5. Spencer AU, Teitelbaum DH. Impact of work-hour restrictions on residents’ operative volume on a subspecialty surgical service. J Am Coll Surg. 2005;200:670–676
  6. Mendoza KA, Britt LD. Resident operative experience during the transition to work-hour reform. Arch Surg. 2005;140:137–145
  7. Hassett JM, Nawotniak R, Cummiskey D, et al. Maintaining outcomes in a surgical residency while complying with resident working hour regulations. Surgery. 2002;132:635–641
  8. Feanny MA, Scott BG, Mattox KI, Hirshberg A. Impact of the 80-hour workweek on resident emergency operative experience. Am J Surg. 2005;190:947–949
  9. Blanchard MH, Amini SB, Frank TM. Impact of work hour restrictions on resident case experience in an obstetrics and gynecology residency program. Am J Obstet Gynecol. 2004;191:1746–1751
  10. Ihse I, Haglund U. The Swedish 40-hour workweek: How does it affect surgical care?. Surgery. 2003;134:17–18
  11. Belghiti J. Limiting resident duty hours in France. Surgery. 2003;134:15–16
  12. Hoffmann J, Fischer A. Juniors’ hours. BMJ. 1990;301:1159

PII: S1931-7204(07)00208-5

doi: 10.1016/j.jsurg.2007.07.008

Journal of Surgical Education
Volume 64, Issue 5 , Pages 256-259 , September 2007

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