Effect of the 80-Hour Workweek on Resident Burnout
HYPOTHESIS With the introduction of the newly mandated restrictions on resident work hours, we expected improvement in subjective feelings of personal accomplishment and lessened emotional exhaustion and depersonalization. DESIGN Residents and faculty members completed an anonymous online Maslach Bu...
Gespeichert in:
| Veröffentlicht in: | Archives of surgery (Chicago. 1960) 2004-09, Vol.139 (9), p.933-940 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 940 |
|---|---|
| container_issue | 9 |
| container_start_page | 933 |
| container_title | Archives of surgery (Chicago. 1960) |
| container_volume | 139 |
| creator | Gelfand, Dmitri V Podnos, Yale D Carmichael, Joseph C Saltzman, Darin J Wilson, Samuel E Williams, Russell A |
| description | HYPOTHESIS With the introduction of the newly mandated restrictions on resident work hours, we expected improvement in subjective feelings of personal accomplishment and lessened emotional exhaustion and depersonalization. DESIGN Residents and faculty members completed an anonymous online Maslach Burnout Inventory Human Services Survey (3rd ed; Consulting Psychologist Press Inc, Palo Alto, Calif) and work-hour registry before and after implementation of new restrictions. SETTING Urban, university-based department of surgery. PARTICIPANTS All house staff (n = 37) and faculty (n = 27). INTERVENTION Introduction of new Institutional Standards for Resident Duty Hours 2003. MAIN OUTCOME MEASURE Resident work hours and levels of emotional exhaustion, perceived degree of depersonalization, and personal accomplishment. RESULTS Resident work hours per week decreased from 100.7 to 82.6 (P |
| doi_str_mv | 10.1001/archsurg.139.9.933 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66896415</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>397284</ama_id><sourcerecordid>696743921</sourcerecordid><originalsourceid>FETCH-LOGICAL-a410t-645a93b2a5cbb68204880cbac1ec5e4ac8d6a3dd088f1eab2b16f945253327aa3</originalsourceid><addsrcrecordid>eNpdkE9LAzEQxYMotlY_gB5k8eBta5JJ0uSopVqhIIjiMWSzWftvNzXZRfz2prQqyDvMwPzmMfMQuiB4SDAmNybYeezC-5CAGiYBHKA-4SBzEIwdoj7GmOWJxD10EuMydVQqeox6W4gIrPqITqrK2TbzVdbOXSZxPvVdyN58WH06t8p8kz27uChd02Z3XWh8156io8qsozvb1wF6vZ-8jKf57OnhcXw7yw0juM0F40ZBQQ23RSEkxUxKbAtjibPcMWNlKQyUJZayIs4UtCCiUoxTDkBHxsAAXe98N8F_dC62ul5E69Zr0zjfRS2EVIKlVwbo6h-4TD806TZNgXLOmSIJojvIBh9jcJXehEVtwpcmWG_j1D9x6hSnTgJIS5d7566oXfm3ss8vAec7wNTmdwpqRCWDbzKYeP8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>232555491</pqid></control><display><type>article</type><title>Effect of the 80-Hour Workweek on Resident Burnout</title><source>MEDLINE</source><source>American Medical Association Journals</source><source>Alma/SFX Local Collection</source><creator>Gelfand, Dmitri V ; Podnos, Yale D ; Carmichael, Joseph C ; Saltzman, Darin J ; Wilson, Samuel E ; Williams, Russell A</creator><creatorcontrib>Gelfand, Dmitri V ; Podnos, Yale D ; Carmichael, Joseph C ; Saltzman, Darin J ; Wilson, Samuel E ; Williams, Russell A</creatorcontrib><description>HYPOTHESIS With the introduction of the newly mandated restrictions on resident work hours, we expected improvement in subjective feelings of personal accomplishment and lessened emotional exhaustion and depersonalization. DESIGN Residents and faculty members completed an anonymous online Maslach Burnout Inventory Human Services Survey (3rd ed; Consulting Psychologist Press Inc, Palo Alto, Calif) and work-hour registry before and after implementation of new restrictions. SETTING Urban, university-based department of surgery. PARTICIPANTS All house staff (n = 37) and faculty (n = 27). INTERVENTION Introduction of new Institutional Standards for Resident Duty Hours 2003. MAIN OUTCOME MEASURE Resident work hours and levels of emotional exhaustion, perceived degree of depersonalization, and personal accomplishment. RESULTS Resident work hours per week decreased from 100.7 to 82.6 (P<.05) with introduction of the new schedule. Home call and formal educational activity time within working hours (eg, clinical conferences) significantly (P<.05) decreased from 11.5 and 4.8 hours to 4.6 and 2.5 hours per week, respectively. Operating room hours, clinic time, and duration of rounds did not show a significant change. Changes in parameters of resident and faculty emotional exhaustion, depersonalization, and personal accomplishment did not show statistical significance (P>.05). CONCLUSIONS Despite successful reductions in resident work hours, measures of burnout were not significantly affected. However, important clinical activities such as time spent in the operating room, clinic, and making rounds were maintained. Formal in-hospital education time was reduced.Arch Surg. 2004;139:933-940--></description><identifier>ISSN: 0004-0010</identifier><identifier>ISSN: 2168-6254</identifier><identifier>EISSN: 1538-3644</identifier><identifier>EISSN: 2168-6262</identifier><identifier>DOI: 10.1001/archsurg.139.9.933</identifier><identifier>PMID: 15381609</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Burnout, Professional ; Chi-Square Distribution ; General Surgery - education ; Humans ; Internship and Residency ; Work Schedule Tolerance ; Workload</subject><ispartof>Archives of surgery (Chicago. 1960), 2004-09, Vol.139 (9), p.933-940</ispartof><rights>Copyright American Medical Association Sep 2004</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a410t-645a93b2a5cbb68204880cbac1ec5e4ac8d6a3dd088f1eab2b16f945253327aa3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamasurgery/articlepdf/10.1001/archsurg.139.9.933$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/archsurg.139.9.933$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,315,781,785,3341,27929,27930,76494,76497</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15381609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gelfand, Dmitri V</creatorcontrib><creatorcontrib>Podnos, Yale D</creatorcontrib><creatorcontrib>Carmichael, Joseph C</creatorcontrib><creatorcontrib>Saltzman, Darin J</creatorcontrib><creatorcontrib>Wilson, Samuel E</creatorcontrib><creatorcontrib>Williams, Russell A</creatorcontrib><title>Effect of the 80-Hour Workweek on Resident Burnout</title><title>Archives of surgery (Chicago. 1960)</title><addtitle>Arch Surg</addtitle><description>HYPOTHESIS With the introduction of the newly mandated restrictions on resident work hours, we expected improvement in subjective feelings of personal accomplishment and lessened emotional exhaustion and depersonalization. DESIGN Residents and faculty members completed an anonymous online Maslach Burnout Inventory Human Services Survey (3rd ed; Consulting Psychologist Press Inc, Palo Alto, Calif) and work-hour registry before and after implementation of new restrictions. SETTING Urban, university-based department of surgery. PARTICIPANTS All house staff (n = 37) and faculty (n = 27). INTERVENTION Introduction of new Institutional Standards for Resident Duty Hours 2003. MAIN OUTCOME MEASURE Resident work hours and levels of emotional exhaustion, perceived degree of depersonalization, and personal accomplishment. RESULTS Resident work hours per week decreased from 100.7 to 82.6 (P<.05) with introduction of the new schedule. Home call and formal educational activity time within working hours (eg, clinical conferences) significantly (P<.05) decreased from 11.5 and 4.8 hours to 4.6 and 2.5 hours per week, respectively. Operating room hours, clinic time, and duration of rounds did not show a significant change. Changes in parameters of resident and faculty emotional exhaustion, depersonalization, and personal accomplishment did not show statistical significance (P>.05). CONCLUSIONS Despite successful reductions in resident work hours, measures of burnout were not significantly affected. However, important clinical activities such as time spent in the operating room, clinic, and making rounds were maintained. Formal in-hospital education time was reduced.Arch Surg. 2004;139:933-940--></description><subject>Burnout, Professional</subject><subject>Chi-Square Distribution</subject><subject>General Surgery - education</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Work Schedule Tolerance</subject><subject>Workload</subject><issn>0004-0010</issn><issn>2168-6254</issn><issn>1538-3644</issn><issn>2168-6262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE9LAzEQxYMotlY_gB5k8eBta5JJ0uSopVqhIIjiMWSzWftvNzXZRfz2prQqyDvMwPzmMfMQuiB4SDAmNybYeezC-5CAGiYBHKA-4SBzEIwdoj7GmOWJxD10EuMydVQqeox6W4gIrPqITqrK2TbzVdbOXSZxPvVdyN58WH06t8p8kz27uChd02Z3XWh8156io8qsozvb1wF6vZ-8jKf57OnhcXw7yw0juM0F40ZBQQ23RSEkxUxKbAtjibPcMWNlKQyUJZayIs4UtCCiUoxTDkBHxsAAXe98N8F_dC62ul5E69Zr0zjfRS2EVIKlVwbo6h-4TD806TZNgXLOmSIJojvIBh9jcJXehEVtwpcmWG_j1D9x6hSnTgJIS5d7566oXfm3ss8vAec7wNTmdwpqRCWDbzKYeP8</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>Gelfand, Dmitri V</creator><creator>Podnos, Yale D</creator><creator>Carmichael, Joseph C</creator><creator>Saltzman, Darin J</creator><creator>Wilson, Samuel E</creator><creator>Williams, Russell A</creator><general>American Medical Association</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>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040901</creationdate><title>Effect of the 80-Hour Workweek on Resident Burnout</title><author>Gelfand, Dmitri V ; Podnos, Yale D ; Carmichael, Joseph C ; Saltzman, Darin J ; Wilson, Samuel E ; Williams, Russell A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a410t-645a93b2a5cbb68204880cbac1ec5e4ac8d6a3dd088f1eab2b16f945253327aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Burnout, Professional</topic><topic>Chi-Square Distribution</topic><topic>General Surgery - education</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Work Schedule Tolerance</topic><topic>Workload</topic><toplevel>online_resources</toplevel><creatorcontrib>Gelfand, Dmitri V</creatorcontrib><creatorcontrib>Podnos, Yale D</creatorcontrib><creatorcontrib>Carmichael, Joseph C</creatorcontrib><creatorcontrib>Saltzman, Darin J</creatorcontrib><creatorcontrib>Wilson, Samuel E</creatorcontrib><creatorcontrib>Williams, Russell A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of surgery (Chicago. 1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gelfand, Dmitri V</au><au>Podnos, Yale D</au><au>Carmichael, Joseph C</au><au>Saltzman, Darin J</au><au>Wilson, Samuel E</au><au>Williams, Russell A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of the 80-Hour Workweek on Resident Burnout</atitle><jtitle>Archives of surgery (Chicago. 1960)</jtitle><addtitle>Arch Surg</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>139</volume><issue>9</issue><spage>933</spage><epage>940</epage><pages>933-940</pages><issn>0004-0010</issn><issn>2168-6254</issn><eissn>1538-3644</eissn><eissn>2168-6262</eissn><abstract>HYPOTHESIS With the introduction of the newly mandated restrictions on resident work hours, we expected improvement in subjective feelings of personal accomplishment and lessened emotional exhaustion and depersonalization. DESIGN Residents and faculty members completed an anonymous online Maslach Burnout Inventory Human Services Survey (3rd ed; Consulting Psychologist Press Inc, Palo Alto, Calif) and work-hour registry before and after implementation of new restrictions. SETTING Urban, university-based department of surgery. PARTICIPANTS All house staff (n = 37) and faculty (n = 27). INTERVENTION Introduction of new Institutional Standards for Resident Duty Hours 2003. MAIN OUTCOME MEASURE Resident work hours and levels of emotional exhaustion, perceived degree of depersonalization, and personal accomplishment. RESULTS Resident work hours per week decreased from 100.7 to 82.6 (P<.05) with introduction of the new schedule. Home call and formal educational activity time within working hours (eg, clinical conferences) significantly (P<.05) decreased from 11.5 and 4.8 hours to 4.6 and 2.5 hours per week, respectively. Operating room hours, clinic time, and duration of rounds did not show a significant change. Changes in parameters of resident and faculty emotional exhaustion, depersonalization, and personal accomplishment did not show statistical significance (P>.05). CONCLUSIONS Despite successful reductions in resident work hours, measures of burnout were not significantly affected. However, important clinical activities such as time spent in the operating room, clinic, and making rounds were maintained. Formal in-hospital education time was reduced.Arch Surg. 2004;139:933-940--></abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>15381609</pmid><doi>10.1001/archsurg.139.9.933</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0004-0010 |
| ispartof | Archives of surgery (Chicago. 1960), 2004-09, Vol.139 (9), p.933-940 |
| issn | 0004-0010 2168-6254 1538-3644 2168-6262 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_66896415 |
| source | MEDLINE; American Medical Association Journals; Alma/SFX Local Collection |
| subjects | Burnout, Professional Chi-Square Distribution General Surgery - education Humans Internship and Residency Work Schedule Tolerance Workload |
| title | Effect of the 80-Hour Workweek on Resident Burnout |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-14T14%3A18%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20the%2080-Hour%20Workweek%20on%20Resident%20Burnout&rft.jtitle=Archives%20of%20surgery%20(Chicago.%201960)&rft.au=Gelfand,%20Dmitri%20V&rft.date=2004-09-01&rft.volume=139&rft.issue=9&rft.spage=933&rft.epage=940&rft.pages=933-940&rft.issn=0004-0010&rft.eissn=1538-3644&rft_id=info:doi/10.1001/archsurg.139.9.933&rft_dat=%3Cproquest_cross%3E696743921%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=232555491&rft_id=info:pmid/15381609&rft_ama_id=397284&rfr_iscdi=true |