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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.
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]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Baseline duty hours recorded with time-cards: a pre-regulation study of internal medicine residents.
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  Data: <searchLink fieldCode="AR" term="%22Chang%2C+Larry+W%22">Chang, Larry W</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vidyarthi%2C+Arpana+R%22">Vidyarthi, Arpana R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kohlwes%2C+R+Jeffrey%22">Kohlwes, R Jeffrey</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Jul2006, Vol. 40 Issue 7, p662-666. 5p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Residents+%28Medicine%29%22">Residents (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22Medicine%22">Medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+medical+staff%22">Hospital medical staff</searchLink><br /><searchLink fieldCode="DE" term="%22Internal+medicine%22">Internal medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Study+%26+teaching+of+medicine%22">Study & teaching of medicine</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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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  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1111/j.1365-2929.2006.02501.x
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Medicine
        Type: general
      – SubjectFull: Hospital medical staff
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              Text: Jul2006
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              Y: 2006
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