Work-hour restrictions as an ethical dilemma for residents
We propose that the standardized work-hour limitations have created an ethical dilemma for residents. A survey tool was designed to assess factors that influence the number of hours residents work and report. The program directors of pediatrics, internal medicine, and general surgery at our institut...
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| Veröffentlicht in: | The American journal of surgery 2006-04, Vol.191 (4), p.527-532 |
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| container_title | The American journal of surgery |
| container_volume | 191 |
| creator | Carpenter, Robert O. Austin, Mary T. Tarpley, John L. Griffin, Marie R. Lomis, Kimberly D. |
| description | We propose that the standardized work-hour limitations have created an ethical dilemma for residents.
A survey tool was designed to assess factors that influence the number of hours residents work and report. The program directors of pediatrics, internal medicine, and general surgery at our institution supported their residents’ participation. A voluntary, anonymous survey of these residents was performed.
One hundred seventy of 265 eligible residents were surveyed. Eighty-one percent of residents surveyed responded. Eighty percent of respondents reported exceeding work-hour restrictions at least once within the past 6 months. The factor of greatest influence measured was concern for patient care (80%). Forty-nine percent of respondents admitted underreporting their work hours.
The Accreditation Council for Graduate Medical Education work-hour restrictions have created an ethical dilemma for residents. Our data show that a significant number of residents feel compelled to exceed work-hour regulations and report those hours falsely. |
| doi_str_mv | 10.1016/j.amjsurg.2006.01.002 |
| format | Article |
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A survey tool was designed to assess factors that influence the number of hours residents work and report. The program directors of pediatrics, internal medicine, and general surgery at our institution supported their residents’ participation. A voluntary, anonymous survey of these residents was performed.
One hundred seventy of 265 eligible residents were surveyed. Eighty-one percent of residents surveyed responded. Eighty percent of respondents reported exceeding work-hour restrictions at least once within the past 6 months. The factor of greatest influence measured was concern for patient care (80%). Forty-nine percent of respondents admitted underreporting their work hours.
The Accreditation Council for Graduate Medical Education work-hour restrictions have created an ethical dilemma for residents. Our data show that a significant number of residents feel compelled to exceed work-hour regulations and report those hours falsely.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2006.01.002</identifier><identifier>PMID: 16531148</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Chi-Square Distribution ; Compliance ; Cultural change ; Decision Trees ; Directors ; Education ; Ethical dilemma ; Ethics ; Ethics, Medical ; Focus groups ; General aspects ; Humans ; Internship and Residency - ethics ; Medical sciences ; Miscellaneous ; Patient safety ; Pediatrics ; Personnel Staffing and Scheduling ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regulations ; Resident training ; Restrictions ; Statistical analysis ; Studies ; Surveys and Questionnaires ; Underreporting ; United States ; Work hours ; Work Schedule Tolerance ; Workload - standards</subject><ispartof>The American journal of surgery, 2006-04, Vol.191 (4), p.527-532</ispartof><rights>2006 Excerpta Medica Inc.</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Elsevier Limited Apr 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-d60f3a7dcf1baf68db64ec3bbbec48be2514d969c9427c455b5c8a34626234733</citedby><cites>FETCH-LOGICAL-c449t-d60f3a7dcf1baf68db64ec3bbbec48be2514d969c9427c455b5c8a34626234733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1444616972?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17646353$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16531148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carpenter, Robert O.</creatorcontrib><creatorcontrib>Austin, Mary T.</creatorcontrib><creatorcontrib>Tarpley, John L.</creatorcontrib><creatorcontrib>Griffin, Marie R.</creatorcontrib><creatorcontrib>Lomis, Kimberly D.</creatorcontrib><title>Work-hour restrictions as an ethical dilemma for residents</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>We propose that the standardized work-hour limitations have created an ethical dilemma for residents.
A survey tool was designed to assess factors that influence the number of hours residents work and report. The program directors of pediatrics, internal medicine, and general surgery at our institution supported their residents’ participation. A voluntary, anonymous survey of these residents was performed.
One hundred seventy of 265 eligible residents were surveyed. Eighty-one percent of residents surveyed responded. Eighty percent of respondents reported exceeding work-hour restrictions at least once within the past 6 months. The factor of greatest influence measured was concern for patient care (80%). Forty-nine percent of respondents admitted underreporting their work hours.
The Accreditation Council for Graduate Medical Education work-hour restrictions have created an ethical dilemma for residents. Our data show that a significant number of residents feel compelled to exceed work-hour regulations and report those hours falsely.</description><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Compliance</subject><subject>Cultural change</subject><subject>Decision Trees</subject><subject>Directors</subject><subject>Education</subject><subject>Ethical dilemma</subject><subject>Ethics</subject><subject>Ethics, Medical</subject><subject>Focus groups</subject><subject>General aspects</subject><subject>Humans</subject><subject>Internship and Residency - ethics</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Patient safety</subject><subject>Pediatrics</subject><subject>Personnel Staffing and Scheduling</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Regulations</subject><subject>Resident training</subject><subject>Restrictions</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Underreporting</subject><subject>United States</subject><subject>Work hours</subject><subject>Work Schedule Tolerance</subject><subject>Workload - standards</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkctq3jAQhUVpaP6mfYQUQ2l3djXWxXY3oYQkDQS6aelSyNI4ketLItmBvH0m_Q2BLFoQjDR8Mxydw9gx8AI46C99Ycc-rfG6KDnXBYeC8_IV20FdNTnUtXjNdpxaeaOBH7K3KfX0BJDiDTsErQRd6x37-nuOf_KbeY1ZxLTE4JYwTymzdKYMl5vg7JD5MOA42qyb_2LB47Skd-ygs0PC91s9Yr_Oz36efs-vflxcnn67yp2UzZJ7zTthK-86aG2na99qiU60bYtO1i2WCqRvdOMaWVZOKtUqV1shdalLISshjtjn_d7bON-tJNKMITkcBjvhvCajq0ooJSWBH1-APf1rIm0GpJQadFOV_6S4gBKEEpwotadcnFOK2JnbGEYbHwgyTwGY3mwBmKcADAdDbtPch2372o7on6c2xwn4tAE2kbVdtJML6ZmrtNSkgLiTPYdk7X3AaJILODn0IaJbjJ_Df6Q8AnlMpHc</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Carpenter, Robert O.</creator><creator>Austin, Mary T.</creator><creator>Tarpley, John L.</creator><creator>Griffin, Marie R.</creator><creator>Lomis, Kimberly D.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><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>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20060401</creationdate><title>Work-hour restrictions as an ethical dilemma for residents</title><author>Carpenter, Robert O. ; Austin, Mary T. ; Tarpley, John L. ; Griffin, Marie R. ; Lomis, Kimberly D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-d60f3a7dcf1baf68db64ec3bbbec48be2514d969c9427c455b5c8a34626234733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Compliance</topic><topic>Cultural change</topic><topic>Decision Trees</topic><topic>Directors</topic><topic>Education</topic><topic>Ethical dilemma</topic><topic>Ethics</topic><topic>Ethics, Medical</topic><topic>Focus groups</topic><topic>General aspects</topic><topic>Humans</topic><topic>Internship and Residency - ethics</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Patient safety</topic><topic>Pediatrics</topic><topic>Personnel Staffing and Scheduling</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Regulations</topic><topic>Resident training</topic><topic>Restrictions</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Underreporting</topic><topic>United States</topic><topic>Work hours</topic><topic>Work Schedule Tolerance</topic><topic>Workload - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carpenter, Robert O.</creatorcontrib><creatorcontrib>Austin, Mary T.</creatorcontrib><creatorcontrib>Tarpley, John L.</creatorcontrib><creatorcontrib>Griffin, Marie R.</creatorcontrib><creatorcontrib>Lomis, Kimberly D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carpenter, Robert O.</au><au>Austin, Mary T.</au><au>Tarpley, John L.</au><au>Griffin, Marie R.</au><au>Lomis, Kimberly D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Work-hour restrictions as an ethical dilemma for residents</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>191</volume><issue>4</issue><spage>527</spage><epage>532</epage><pages>527-532</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>We propose that the standardized work-hour limitations have created an ethical dilemma for residents.
A survey tool was designed to assess factors that influence the number of hours residents work and report. The program directors of pediatrics, internal medicine, and general surgery at our institution supported their residents’ participation. A voluntary, anonymous survey of these residents was performed.
One hundred seventy of 265 eligible residents were surveyed. Eighty-one percent of residents surveyed responded. Eighty percent of respondents reported exceeding work-hour restrictions at least once within the past 6 months. The factor of greatest influence measured was concern for patient care (80%). Forty-nine percent of respondents admitted underreporting their work hours.
The Accreditation Council for Graduate Medical Education work-hour restrictions have created an ethical dilemma for residents. Our data show that a significant number of residents feel compelled to exceed work-hour regulations and report those hours falsely.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16531148</pmid><doi>10.1016/j.amjsurg.2006.01.002</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Chi-Square Distribution Compliance Cultural change Decision Trees Directors Education Ethical dilemma Ethics Ethics, Medical Focus groups General aspects Humans Internship and Residency - ethics Medical sciences Miscellaneous Patient safety Pediatrics Personnel Staffing and Scheduling Public health. Hygiene Public health. Hygiene-occupational medicine Regulations Resident training Restrictions Statistical analysis Studies Surveys and Questionnaires Underreporting United States Work hours Work Schedule Tolerance Workload - standards |
| title | Work-hour restrictions as an ethical dilemma for residents |
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