The 80-hour workweek restriction: How are OB/GYN resident procedure numbers affected?

Short, Amy C; Rogers, Stacey J; Magann, Everett F.; Rieg, Thomas S.; Shapiro, Alan; Morrison, John C.

doi:10.1080/14767050601023277

Cited by 20 publications

(14 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,6 Similarly, our data show no change in the total number of cesarean deliveries performed by graduating residents. However, there was a significant decrease in the number of total abdominal hysterectomies and a simultaneous increase in the total number of major laparoscopic procedures performed by graduating residents during the study period.…”

Section: Discussionmentioning

confidence: 50%

“…[1][2][3][4][5][6] While the debate over adequate surgical exposure continues, few studies have evaluated the association of duty hour restrictions on resident surgical performance and proficiency. The purpose of our study was to assess the association between duty hour restrictions and the time to perform an uncomplicated cesarean delivery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Increase in Cesarean Operative Time Following Institution of the 80-Hour Workweek

Smrtka

Gunatilake

Harris

et al. 2015

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Increase in Cesarean Operative Time Following Institution of the 80-Hour Workweek

Smrtka

Gunatilake

Harris

et al. 2015

Journal of Graduate Medical Education

View full text Add to dashboard Cite

show abstract

“…The type of operative experience varied between studies. Of the 17 studies that evaluated the relationship between duty hour rules and overall surgical experience or overall experience as the main surgeon, two showed significant decreases, one showed a significant increase, nine showed no change, 40,52,54,55,59,64,71,73,81 and several others did not report statistical analyses. Many of these studies were single site studies, and likely underpowered to detect a true difference.…”

Section: Standardized Testsmentioning

confidence: 99%

Patient Safety, Resident Education and Resident Well-Being Following Implementation of the 2003 ACGME Duty Hour Rules

2011

View full text Add to dashboard Cite

), bibliographies, pertinent reviews, and meeting abstracts. STUDY SELECTION: We included studies examining the relationship between the pre-and post-2003 time periods and patient outcomes (mortality, complications, errors), resident education (standardized test scores, clinical experience), and well-being (as measured by the Maslach Burnout Inventory). We excluded non-US studies. DATA EXTRACTION: One rater used structured data collection forms to abstract data on study design, quality, and outcomes. We synthesized the literature qualitatively and included a meta-analysis of patient mortality. RESULTS: Of 5,345 studies identified, 60 met eligibility criteria. Twenty-eight studies included an objective outcome related to patients; 10 assessed standardized resident examination scores; 26 assessed resident operative experience. Eight assessed resident burnout. Metaanalysis of the mortality studies revealed a significant improvement in mortality in the post-2003 time period with a pooled odds ratio (OR) of 0.9 (95% CI: 0.84, 0.95). These results were significant for medical (OR 0.91; 95% CI: 0.85, 0.98) and surgical patients (OR 0.86; 95% CI: 0.75, 0.97). However, significant heterogeneity was present (I 2 83%). Patient complications were more nuanced. Some increased in frequency; others decreased. Outcomes for resident operative experience and standardized knowledge tests varied substantially across studies. Resident well-being improved in most studies. LIMITATIONS: Most studies were observational. Not all studies of mortality provided enough information to be included in the meta-analysis. We used unadjusted odds ratios in the meta-analysis; statistical heterogeneity was substantial. Publication bias is possible. CONCLUSIONS:Since 2003, patient mortality appears to have improved, although this could be due to secular trends. Resident well-being appears improved. Change in resident educational experience is less clear.

show abstract

“…It is still unclear whether or not residents are actually performing fewer procedures or have a decreased caseload, although it is certainly a risk. 9,10,[13][14][15][16][17][18] This issue warrants attention, as decreased experience may actually be detrimental to patient safety, despite decreased fatigue. To counteract the time lost in operations or performing procedures due to the shorter work hours, longer residencies may be necessary.…”

Section: Resident Educationmentioning

confidence: 99%

Resident Work Hour Restrictions: Balancing Resident Education and Patient Safety

MacMullin

2013

DMJ

View full text Add to dashboard Cite

The 80-hour workweek restriction: How are OB/GYN resident procedure numbers affected?

Abstract: The 80-hour workweek restriction resulted in similar total numbers of obstetrics and gynecology cases, although the total number of obstetric cases per resident declined after implementation.

Cited by 20 publications

References 19 publications

Increase in Cesarean Operative Time Following Institution of the 80-Hour Workweek

Increase in Cesarean Operative Time Following Institution of the 80-Hour Workweek

Patient Safety, Resident Education and Resident Well-Being Following Implementation of the 2003 ACGME Duty Hour Rules

Resident Work Hour Restrictions: Balancing Resident Education and Patient Safety

Contact Info

Product

Resources

About