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- Title
Internal Medicine Residents' Clinical and Didactic Experiences After Work Hour Regulation: A Survey of Chief Residents.
- Authors
Horwitz, Leora I.; Krumholz, Harlan M.; Huot, Stephen J.; Green, Michael L.
- Abstract
BACKGROUND: Work hour regulations for house staff were intended in part to improve resident clinical and educational performance. OBJECTIVE: To characterize the effect of work hour regulation on internal medicine resident inpatient clinical experience and didactic education. DESIGN: Cross-sectional mall survey. PARTICIPANTS: Chief residents at all accredited U.S. internal medicine residency, programs outside New York. MEASUREMENTS AND MAIN RESULTS: The response rate was 62% (202/324). Most programs (72%) reported no change in average patient load per intern after work hour regulation. Many programs (48%) redistributed house staff admissions through the call cycle. The number of admissions per intern on long can (the day interns have the most admitting responsibility) decreased in 31% of programs, and the number of admissions on other days increased in 21% of programs. Residents on outpatient rotations were given new ward responsibilities in 36% of programs. Third-year resident ward and float time increased in 34% of programs, while third-year elective time decreased in 22% of programs. The mean weekly hours allotted to educational activities did not change significantly (12.7 vs 12.4. P=. 12). but 56% of programs reported a decrease in intern attendance at educational activities. CONCLUSIONS: In response to work hour regulation, many internal medicine programs redistributed rather than reduced residents' inpatient clinical experience. Hours allotted to educational activities did not change: however, most programs saw a decrease in intern attendance at conferences, and many reduced third-year elective time.
- Subjects
NEW York (State); UNITED States; INTERNAL medicine; MEDICINE; MEDICAL education; PROFESSIONAL education; EDUCATIONAL programs
- Publication
JGIM: Journal of General Internal Medicine, 2006, Vol 21, Issue 9, p961
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/BF02743145