Journal of Surgical Education
Volume 67, Issue 3 , Pages 157-160 , May 2010

“July Effect” and Appendicitis

  • Arezou Yaghoubian, MD

      Affiliations

    • Department of Surgery, Harbor-UCLA Medical Center, Torrance, California
    • ,
  • Christian de Virgilio, MD

      Affiliations

    • Department of Surgery, Harbor-UCLA Medical Center, Torrance, California
    • ,
  • Vicki Chiu, MS

      Affiliations

    • Kaiser Permanente, Los Angeles Medical Center, Los Angeles, California
    • ,
  • Steven L. Lee, MD

      Affiliations

    • Department of Surgery, Harbor-UCLA Medical Center, Torrance, California
    • Kaiser Permanente, Los Angeles Medical Center, Los Angeles, California
    • Corresponding Author InformationCorrespondence: Inquiries to Steven L. Lee, MD, Department of Surgery, Harbor-UCLA Medical Center, 1000 W Carson Street, Box 25, Bldg 1E, Torrance, CA 90509; fax: (310) 782 1562

References 

  1. Committee on Optimizing Graduate Medical Trainiee (Resident) Hours and Work Schedule to Improve Patient Safety. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety: Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Washington, DC: National Academies Press; 2008;
  2. American Medical Association. Graduate Medical Education Directory. Chicago, Ill: Association Press; 2003;
  3. Bakaeen FG, Huh J, Lemaire SA, et al. The July effect: impact of the beginning of the academic cycle on cardiac surgical outcomes in a cohort of 70,616 patients. Ann Thorac Surg. 2009;88:70–75
  4. Stout CL, Chapman JR, Scoglietti VC, et al. “July effect”: an evaluation of a level I teaching hospital's trauma service seasonal mortality rates. Am Surg. 2008;74:878–879
  5. Claridge JA, Schulman AM, Sawyer RG, Ghezel-Ayagh A, Young JS. The “July phenomenon” and the care of the severely injured patient: fact or fiction?. Surgery. 2001;130:346–353
  6. Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. The “July phenomenon”: is trauma the exception?. J Am Coll Surg. 2009;209:378–384
  7. Smith ER, Butler WE, Barker FG. Is there a “July phenomenon” in pediatric neurosurgery at teaching hospitals?. J Neurosurg. 2006;105(suppl):169–176
  8. Englesbe MJ, Pelletier SJ, Magee JC, et al. Seasonal variation in surgical outcomes as measured by the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP). Ann Surg. 2007;246:456–462

PII: S1931-7204(10)00071-1

doi: 10.1016/j.jsurg.2010.04.003

Journal of Surgical Education
Volume 67, Issue 3 , Pages 157-160 , May 2010

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