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The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit
Many countries have reduced resident duty hours in an effort to promote patient safety and enhance resident quality of life. There are concerns that reducing duty hours may impact residents' learning opportunities. We (1) evaluated residents' perceptions of their current learning opportuni...
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Published in: | Journal of graduate medical education 2015-03, Vol.7 (1), p.48-52 |
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creator | Sabri, Nessrine Sun, Ning-Zi Cummings, Beth-Ann Jayaraman, Dev |
description | Many countries have reduced resident duty hours in an effort to promote patient safety and enhance resident quality of life. There are concerns that reducing duty hours may impact residents' learning opportunities.
We (1) evaluated residents' perceptions of their current learning opportunities in a context of reduced duty hours, and (2) explored the perceived change in resident learning opportunities after call length was reduced from 24 continuous hours to 16 hours.
We conducted an anonymous, cross-sectional online survey of 240 first-, second-, and third-year residents rotating through 3 McGill University-affiliated intensive care units (ICUs) in Montreal, Quebec, Canada, between July 1, 2012, and June 30, 2013. The survey investigated residents' perceptions of learning opportunities in both the 24-hour and 16-hour systems.
Of 240 residents, 168 (70%) completed the survey. Of these residents, 63 (38%) had been exposed to both 24-hour and 16-hour call schedules. The majority of respondents (83%) reported that didactic teaching sessions held by ICU staff physicians were useful. However, of the residents trained in both approaches to overnight call, 44% reported a reduction in learner attendance at didactic teaching sessions, 48% reported a reduction in attendance at midday hospital rounds, and 40% reported a perceived reduction in self-directed reading after the implementation of the new call schedule.
A substantial proportion of residents perceived a reduction in the attendance of instructor-directed and self-directed reading after the implementation of a 16-hour call schedule in the ICU. |
doi_str_mv | 10.4300/JGME-D-14-00180.1 |
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We (1) evaluated residents' perceptions of their current learning opportunities in a context of reduced duty hours, and (2) explored the perceived change in resident learning opportunities after call length was reduced from 24 continuous hours to 16 hours.
We conducted an anonymous, cross-sectional online survey of 240 first-, second-, and third-year residents rotating through 3 McGill University-affiliated intensive care units (ICUs) in Montreal, Quebec, Canada, between July 1, 2012, and June 30, 2013. The survey investigated residents' perceptions of learning opportunities in both the 24-hour and 16-hour systems.
Of 240 residents, 168 (70%) completed the survey. Of these residents, 63 (38%) had been exposed to both 24-hour and 16-hour call schedules. The majority of respondents (83%) reported that didactic teaching sessions held by ICU staff physicians were useful. However, of the residents trained in both approaches to overnight call, 44% reported a reduction in learner attendance at didactic teaching sessions, 48% reported a reduction in attendance at midday hospital rounds, and 40% reported a perceived reduction in self-directed reading after the implementation of the new call schedule.
A substantial proportion of residents perceived a reduction in the attendance of instructor-directed and self-directed reading after the implementation of a 16-hour call schedule in the ICU.</description><identifier>ISSN: 1949-8349</identifier><identifier>EISSN: 1949-8357</identifier><identifier>DOI: 10.4300/JGME-D-14-00180.1</identifier><identifier>PMID: 26217422</identifier><language>eng</language><publisher>United States: The Accreditation Council for Graduate Medical Education</publisher><subject>Attitude of Health Personnel ; Cross-Sectional Studies ; Female ; Humans ; Intensive Care Units ; Internal Medicine - education ; Internship and Residency ; Male ; Original Research ; Patient Safety ; Personnel Staffing and Scheduling ; Quality of Life ; Quebec ; Surveys and Questionnaires ; Work Schedule Tolerance ; Workload</subject><ispartof>Journal of graduate medical education, 2015-03, Vol.7 (1), p.48-52</ispartof><rights>Accreditation Council for Graduate Medical Education 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3141-b0403df7e3571f540f96f6ec0452f82dea636affb2de8416cd69fd0247928e8a3</citedby><cites>FETCH-LOGICAL-c3141-b0403df7e3571f540f96f6ec0452f82dea636affb2de8416cd69fd0247928e8a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4507927/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4507927/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26217422$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sabri, Nessrine</creatorcontrib><creatorcontrib>Sun, Ning-Zi</creatorcontrib><creatorcontrib>Cummings, Beth-Ann</creatorcontrib><creatorcontrib>Jayaraman, Dev</creatorcontrib><title>The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit</title><title>Journal of graduate medical education</title><addtitle>J Grad Med Educ</addtitle><description>Many countries have reduced resident duty hours in an effort to promote patient safety and enhance resident quality of life. There are concerns that reducing duty hours may impact residents' learning opportunities.
We (1) evaluated residents' perceptions of their current learning opportunities in a context of reduced duty hours, and (2) explored the perceived change in resident learning opportunities after call length was reduced from 24 continuous hours to 16 hours.
We conducted an anonymous, cross-sectional online survey of 240 first-, second-, and third-year residents rotating through 3 McGill University-affiliated intensive care units (ICUs) in Montreal, Quebec, Canada, between July 1, 2012, and June 30, 2013. The survey investigated residents' perceptions of learning opportunities in both the 24-hour and 16-hour systems.
Of 240 residents, 168 (70%) completed the survey. Of these residents, 63 (38%) had been exposed to both 24-hour and 16-hour call schedules. The majority of respondents (83%) reported that didactic teaching sessions held by ICU staff physicians were useful. However, of the residents trained in both approaches to overnight call, 44% reported a reduction in learner attendance at didactic teaching sessions, 48% reported a reduction in attendance at midday hospital rounds, and 40% reported a perceived reduction in self-directed reading after the implementation of the new call schedule.
A substantial proportion of residents perceived a reduction in the attendance of instructor-directed and self-directed reading after the implementation of a 16-hour call schedule in the ICU.</description><subject>Attitude of Health Personnel</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Internal Medicine - education</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Original Research</subject><subject>Patient Safety</subject><subject>Personnel Staffing and Scheduling</subject><subject>Quality of Life</subject><subject>Quebec</subject><subject>Surveys and Questionnaires</subject><subject>Work Schedule Tolerance</subject><subject>Workload</subject><issn>1949-8349</issn><issn>1949-8357</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpVkUtLAzEQx4MoKtoP4EVy9LKaZLOviyBtfVGpSHsOaXbSRtqkJlmh395oa9G5zMDM_ObxR-iCkmueE3Lz_PAyzAYZ5RkhtCbX9ACd0oY3WZ0X1eE-5s0J6oXwTpLlDaspO0YnrGS04oydIjVZAH4Fr8B8QouHWoOK2Gk86OIGP7rO4zcI0RsVjbMBO4tHIL01do7H67XzsbMmGgjYWBwT68lGsCHBcF96wNOUPUdHWi4D9Hb-DE3vh5P-YzYaPzz170aZyimn2Yxwkre6grQ_1QUnuil1CYrwgumatSDLvJRaz1JYc1qqtmx0Sxiv0llQy_wM3W656262glaBjV4uxdqblfQb4aQR_zPWLMTcfQpekMSoEuBqB_Duo0tni5UJCpZLacF1QdAqvZqUdV2kUrotVd6F4EHvx1AivvUR3_qIgaBc_OgjaOq5_LvfvuNXjfwLNnuM8w</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Sabri, Nessrine</creator><creator>Sun, Ning-Zi</creator><creator>Cummings, Beth-Ann</creator><creator>Jayaraman, Dev</creator><general>The Accreditation Council for Graduate Medical Education</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201503</creationdate><title>The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit</title><author>Sabri, Nessrine ; Sun, Ning-Zi ; Cummings, Beth-Ann ; Jayaraman, Dev</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3141-b0403df7e3571f540f96f6ec0452f82dea636affb2de8416cd69fd0247928e8a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Attitude of Health Personnel</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Internal Medicine - education</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Original Research</topic><topic>Patient Safety</topic><topic>Personnel Staffing and Scheduling</topic><topic>Quality of Life</topic><topic>Quebec</topic><topic>Surveys and Questionnaires</topic><topic>Work Schedule Tolerance</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sabri, Nessrine</creatorcontrib><creatorcontrib>Sun, Ning-Zi</creatorcontrib><creatorcontrib>Cummings, Beth-Ann</creatorcontrib><creatorcontrib>Jayaraman, Dev</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of graduate medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sabri, Nessrine</au><au>Sun, Ning-Zi</au><au>Cummings, Beth-Ann</au><au>Jayaraman, Dev</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit</atitle><jtitle>Journal of graduate medical education</jtitle><addtitle>J Grad Med Educ</addtitle><date>2015-03</date><risdate>2015</risdate><volume>7</volume><issue>1</issue><spage>48</spage><epage>52</epage><pages>48-52</pages><issn>1949-8349</issn><eissn>1949-8357</eissn><abstract>Many countries have reduced resident duty hours in an effort to promote patient safety and enhance resident quality of life. There are concerns that reducing duty hours may impact residents' learning opportunities.
We (1) evaluated residents' perceptions of their current learning opportunities in a context of reduced duty hours, and (2) explored the perceived change in resident learning opportunities after call length was reduced from 24 continuous hours to 16 hours.
We conducted an anonymous, cross-sectional online survey of 240 first-, second-, and third-year residents rotating through 3 McGill University-affiliated intensive care units (ICUs) in Montreal, Quebec, Canada, between July 1, 2012, and June 30, 2013. The survey investigated residents' perceptions of learning opportunities in both the 24-hour and 16-hour systems.
Of 240 residents, 168 (70%) completed the survey. Of these residents, 63 (38%) had been exposed to both 24-hour and 16-hour call schedules. The majority of respondents (83%) reported that didactic teaching sessions held by ICU staff physicians were useful. However, of the residents trained in both approaches to overnight call, 44% reported a reduction in learner attendance at didactic teaching sessions, 48% reported a reduction in attendance at midday hospital rounds, and 40% reported a perceived reduction in self-directed reading after the implementation of the new call schedule.
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subjects | Attitude of Health Personnel Cross-Sectional Studies Female Humans Intensive Care Units Internal Medicine - education Internship and Residency Male Original Research Patient Safety Personnel Staffing and Scheduling Quality of Life Quebec Surveys and Questionnaires Work Schedule Tolerance Workload |
title | The Perceived Effect of Duty Hour Restrictions on Learning Opportunities in the Intensive Care Unit |
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