Impact of the ACGME Work Hour Requirements

Watson, James C.

doi:10.1212/01.wnl.0000152728.17155.41

Cited by 12 publications

(10 citation statements)

References 15 publications

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“…While these statements remain to be independently verified, they are basically unchanged from the opinions of a limited number of ANPD surveyed in 2004 immediately after institution of duty hour reform. 6 Multiple areas of curricular deficiency in residency programs were identified. A trend continues toward increased outpatient clinic rotations compared to 1999, with a reduction in the months on neuropathology, EMG, EEG, and electives.…”

Section: Resultsmentioning

confidence: 99%

Education Research: Neurology residency training in the new millennium

Schuh

Adair²,

Drogan³

et al. 2009

Neurology

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Objective: To survey adult neurology program directors (ANPD) to identify their most pressing needs at a time of dramatic change in neurology resident education.Methods: All US ANPD were surveyed in 2007 using an instrument adjusted from a 1999 survey instrument. The goal was to characterize current program content, the institution and evaluation of the core competencies, program director characteristics, program director support, the institution of work duty hour requirements, resident support, and the curriculum needs of program directors and programs.Results: A response rate of 82.9% was obtained. There is a significant disconnect between administration time spent by ANPD and departmental/institutional support of this, with ANPD spending approximately 35% of a 50-hour week on administration with only 16.7% salary support. Rearrangement of rotations or services has been the most common mode for ANPD to deal with work duty hour requirements, with few programs employing mid level providers. Most ANPD do not feel work duty hour reform has improved resident education. More residents are entering fellowships following graduation than documented in the past. Curriculum deficiencies still exist for ANPD to meet all Neurology Program Requirements, especially for nontraditional neurology topics outside the conventional bounds of clinical neurology (e.g., practice management). Nearly one quarter of neurology residency programs do not have a meeting or book fund for every resident in the program. Conclusions:

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Section: Resultsmentioning

confidence: 99%

Education Research: Neurology residency training in the new millennium

Schuh

Adair²,

Drogan³

et al. 2009

Neurology

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“…DISCUSSION This survey is among the largest of neurology residents to date [5][6][7] and suggests positive and negative impressions about training. Trainees feel positive about core training of diagnoses and patient care but less positive about basic neuroscience and practice-related issues.…”

Section: Resultsmentioning

confidence: 72%

“…They are the "transitional" group. It is important to note that ACGME duty hour rules went into effect on July 1, 2003, 5 and the survey targeted all graduating residents in July 2007. Therefore, the duty hour violation reports of the transitional group may have occurred as part of their training before 2003, when the duty hours were not in effect.…”

Section: Resultsmentioning

confidence: 99%

Results of the American Academy of Neurology Resident Survey

et al. 2011

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“…Studies of pediatric, neurology, and otolaryngology residents have found 10% to 39.5% reported noncompliance with the 80-hour rule, and 22% to 50% noncompliance with the 30-hour rule. [11][12][13] In a crosssectional study, the American Medical Association found that 11% of 1010 residents reported working more than 80 hours per week during their most recent rotation.…”

Section: Graduate Medical Education Work Hour Limitsmentioning

confidence: 99%

“…9 Moreover, the ACGME has the authority to withdraw the accreditation of noncompliant programs, 10 which could lead to inaccurate reporting by institutions. Preliminary cross-sectional surveys have suggested that house officers' work hours may be higher than those reported to the ACGME, [11][12][13][14] but prospective, longitudinal studies using validated measures of work hours have not been conducted.…”

mentioning

confidence: 99%