Making the Case for Investigating Flexibility in Duty Hour Limits for Surgical Residents.
نویسندگان
چکیده
Restrictions on the number of hours that resident physicians canworkcontinue to ignite tremendouscontroversy among stakeholders. The debate predominantly concernswhether restrictionsenhanceorendangerpatientsafetyandresidenteducation.Thepurported benefits of duty hour limits are fairly evident: wellrested residents will be less prone to error and burnout, and they will have more time to study their field. While thismaysound logical, itmayactuallybe thatduty hour restrictions disrupt continuity of care because the physicianwhoknowsthepatientbestmaynot followthe patient through critical phases of their hospitalization, stabilization,orsurgery.Theresultinghandoffsmaycompromise patient safety and reduce continuous contact time and hands-on experiences for trainees. Eliminating 120-hourworkweeks,everyothernight call, and no days off for months was a necessity. Further restrictions on duty hours were implemented becauseofpublicpressureandexpertopinion,notonhighlevelevidence.Thechallengenowin improvingdutyhour policies is to identify and maintain key limits while still allowing the flexibility necessary to deliver high-quality patient care and resident education.
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متن کاملResident perspectives on duty hour limits and attributes of their learning environment
BACKGROUND Residents are stakeholders in the debate surrounding duty hour restrictions, yet few studies have assessed their perspective on their programs' efforts to comply with them. OBJECTIVES This paper explores learners' perceptions of the attributes of their programs in relation to duty hour compliance, and looks for evidence whether residents view duty hour limits as important to patien...
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ورودعنوان ژورنال:
- JAMA surgery
دوره 150 6 شماره
صفحات -
تاریخ انتشار 2015