Baseline duty hours recorded with time-cards: a pre-regulation study of internal medicine residents.
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| Title: | Baseline duty hours recorded with time-cards: a pre-regulation study of internal medicine residents. |
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| Authors: | Chang, Larry W (AUTHOR), Vidyarthi, Arpana R (AUTHOR), Kohlwes, R Jeffrey (AUTHOR) |
| Source: | Medical Education. Jul2006, Vol. 40 Issue 7, p662-666. 5p. 3 Charts. |
| Subjects: | Residents (Medicine), Medicine, Hospital medical staff, Internal medicine, Study & teaching of medicine |
| Abstract: | Objective The acquisition of data on resident duty hours has been largely dependent on self-report surveys collected in the surgical literature. We sought to implement and describe a simple method for monitoring internal medicine resident duty hours by using time-cards. Design In 2002, internal medicine residents on a 3-site academic programme were asked to track their duty hours using time-cards prior to the implementation of system changes according to duty hours reform. Setting An academic internal medicine residency programme in the USA. Results Of participating residents ( n = 41), 93% worked at least 1 shift longer than 30 hours, 29% worked an average of more than 80 hours per week, and 56% had less than 1 day off per week. No residents were on call more than once every third day. Conclusions This study describes the findings and challenges of using time-cards to track duty hours, and shows that many internal medicine residents on this programme were, before implementation of duty hours reforms, in violation of duty hours regulations. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective The acquisition of data on resident duty hours has been largely dependent on self-report surveys collected in the surgical literature. We sought to implement and describe a simple method for monitoring internal medicine resident duty hours by using time-cards. Design In 2002, internal medicine residents on a 3-site academic programme were asked to track their duty hours using time-cards prior to the implementation of system changes according to duty hours reform. Setting An academic internal medicine residency programme in the USA. Results Of participating residents ( n = 41), 93% worked at least 1 shift longer than 30 hours, 29% worked an average of more than 80 hours per week, and 56% had less than 1 day off per week. No residents were on call more than once every third day. Conclusions This study describes the findings and challenges of using time-cards to track duty hours, and shows that many internal medicine residents on this programme were, before implementation of duty hours reforms, in violation of duty hours regulations. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 03080110 |
| DOI: | 10.1111/j.1365-2929.2006.02501.x |
