No hospital can afford these things now. EAGordon Other specialties, such as surgery, require call and are more time-consuming. The number of hours residents work varies. Long hours are a component of medical residency and preparation for an occupation that requires hard work and dedication. For Ahmed, it is not counterintuitive that shorter hours can lead to unhappiness among some trainees. It would also generate a large amount of time for educational activities within our training program. New York State regulations (NYCRR Title 10 Section 405.4 - Paragraph 6 of subdivision (a)) limit the working hours of post-graduate trainees (resident physicians) to maintain patient safety. MHNachtsheim We tried to overcome this potential bias by having residents code activities rather than general impressions, and by reviewing the survey with the residents before implementation. Duncan multiple comparisons method was used for pairwise comparisons.6 The mean percentage of noneducational time between weeks with more than 80 hours worked and weeks with 80 hours or less worked was compared using t test. After all, the initial impetus for work-hour restrictions theorized that excessive hours led to incompetence.24 Our challenge is to think of how we can improve our educational program to maximize the educational potential of all 80 hours and to graduate competent physicians. And secondly, can you tell us about that resident who had the 22-hour average workweek? Maximum average 48 hour working week with doctors who opt out of the WTR capped at maximum average of 56 working hours per week. The hospital is our classroom, and there is a lot of variation in each hospital. We need to use every available approach to meet the challenges of training our future surgeons. RSCooney Russell Sometimes, up to 6 forms, including discharge summaries that are 5 pages long, consume many hours. That is a model that I think will probably come to pass. With the increased patient load and fewer residents in the hospital at any one time, our residents do not sleep much on call. It is probably a combination both in nursing leadership and nursing culture, as well as the physician culture and the resident culture in Milwaukee. A work-hour survey was developed defining 5 areas of activity: patient care related to educational objectives, required educational activities, patient care activities unrelated to educational objectives, off-duty educational activity, and off-duty hours. But few errors cause injury and the effects could be different in other clinical settings, according to the study. Data from all surveys were included, even if the weekly total was less than 168 hours. The mean number of hours worked was 77. RAJimenez To determine what residents were doing during their time in the hospitals, a work-hour survey was developed with input from the residents, program coordinator, and program director. I would agree that we have had more of an immersion or an experiential model, and I think that paradigm has to change. Graduate medical education is now funded by Medicare, Medicaid, hospitals, medical schools, voluntary health organizations, and faculty practice plans.15 Each makes the case that the others should fund the current workforce shortage occurring as a result of decreased resident work hours, and programs must try creative solutions to get by. Then have an in-depth discussion to try to correct the program. Total work hours and noneducational work hours were analyzed by resident level, rotation, and category. L Resident work hours: the evolution of a revolution. DF Duty hours for resident physicians: tough choices for teaching hospitals. MKChao The most important regulation was capping resident work hours at an average of 80 hours a week (averaged over 4 weeks). Leigh Anne Neumayer, MD, Salt Lake City, Utah: I would like to congratulate the authors on being ahead of the curve as far as I can tell with the 80-hour workweek and also in attempting to quantify what their residents are doing, which is something that we all need to know. Resident Work Hours and Conditions of Post-Graduate Trainees. Have enough data to tell what it is a self-report, so there is a self-report, so there a. Patients for 12 more hours and mitigate it. ” if the weekly total was less than hours. Than PGY-3 and PGY-4 residents, with a maximum of 123 hours a... And ask them exactly how they were categorizing time of time could be identified and isolated from service... Care also did not differ significantly by rotation site ( Table 1 ) rest period 6... 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