Internal Medicine Residents' Perspectives on Effects of 2011 ACGME Work Hour Regulations on Patient Care

Background: The Accreditation Council for Graduate Medical Education (ACGME) introduced new work hour limitations in July 2011. Purposes: The aim is to assess internal medicine residents' perspectives on the impact of these limitations on their ability to discharge patient care duties. Methods:...

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Bibliographic Details
Published in:Teaching and learning in medicine 2014-01, Vol.26 (3), p.274-278
Main Authors: Hoskote, Sumedh S., Nadkarni, Girish N., Annapureddy, Narender, Shetty, Aneesha A., Fried, Ethan D.
Format: Article
Language:English
Subjects:
Accreditation
Adult
Attitude of Health Personnel
Education, Medical, Graduate - organization & administration
Female
graduate medical education
hospital medicine
Humans
Internal Medicine - education
Internship and Residency
Male
Personnel Staffing and Scheduling
residency
Students, Medical
Surveys and Questionnaires
United States
work hour limitations
Work Schedule Tolerance
Workload
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Summary:Background: The Accreditation Council for Graduate Medical Education (ACGME) introduced new work hour limitations in July 2011. Purposes: The aim is to assess internal medicine residents' perspectives on the impact of these limitations on their ability to discharge patient care duties. Methods: An anonymous survey was administered to 158 medicine residents in an urban university-affiliated internal medicine residency program. Residents' perspectives on various aspects of patient care were recorded on a 5-point Likert-type scale. Results: The response rate was 62%. The majority of residents (80%) agreed that patients had adequate continuity of care. Most residents agreed that they had enough time to follow up on consult notes (64% agreed) and investigations (80% agreed) daily. Most PGY-1 residents (59%) reported having enough time to prepare sign-outs. Most (60%) residents felt that reducing handoffs would improve patient care. Conclusions: Most residents believe that the new work hour limitations would continue to uphold patient safety, but handoffs in care must be restricted.
ISSN:1040-1334
1532-8015
DOI:10.1080/10401334.2014.910458