Journal of the American College of Surgeons
Volume 198, Issue 6 , Pages 989-993 , June 2004

Viewpoints from generation X: a survey of candidate and associate viewpoints on resident duty-hour regulations 1

  • Willie Underwood, MS, MD

      Affiliations

    • Division of Clinical Research and Quality Assurance, Department of Urology, University of Michigan (Underwood), Ann Arbor, MI, USA
    • VA Center for Practice Management and Outcomes Research (Underwood), Ann Arbor, MI, USA
    • Corresponding Author InformationCorrespondence address: Willie Underwood, MS, MD, University of Michigan, Department of Urology, 1500 E Medical Center Dr, Ann Arbor, MI 48109-0330 USA
  • ,
  • Anne J Boyd, MD

      Affiliations

    • Robert Wood Johnson Clinical Scholars Program, University of Michigan (Boyd), Ann Arbor, MI, USA
  • ,
  • Kathlyn E Fletcher, MD, MA

      Affiliations

    • Clement J Zablocki VA Medical Center and Medical College of Wisconsin, Division of General Internal Medicine (Fletcher), Milwaukee, WI, USA
  • ,
  • The Executive Committee of the American College of Surgeons-Candidate Associate Society
  • ,
  • Monica L Lypson, MD

      Affiliations

    • VA Ann Arbor Health Care System, Department of Internal Medicine, University of Michigan (Lypson), Ann Arbor, MI, USA

Received 19 November 2003 ,Accepted 22 December 2003.

References 

  1. Kohn L, Corrigan J, Donaldson ME. To err is human. Building a safer health system. Washington, DC: National Academic Press; 2000;
  2. Public Citizen: Petition to the Occupational Safety and Health Administration requesting that limits be placed on hours worked by medical residents. HRG publication #1570. 2004; Accessed March 10. Web: http://www.citizen.org/publications/release.cfm?id677I
  3. Conyers JR. Patient and physician safety act of 2001. HR 3236
  4. Corzine JS. Patient and physician safety act of 2002. S. 2614
  5. Accreditation Council for Graduate Medical Education. 2002; Available at: http://www.acgme.org/. Accessed December 30
  6. Parson T. The social system. New York: Free Press; 1951;
  7. Bosk C. Forgive and remember. Managing medical failure. Chicago: The University Press; 1981;
  8. Geoghegan M. Is the Working Time Directive making teamwork obsolete?. Ir Med J. 2002;95:151
  9. Barden C, Specht M, McCarter M, et al.  Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195:531–538
  10. Broodman S. In: First get no sleep. Washington Post. 2001;p. 7–18 March 27
  11. Underwood W, Fletcher KE, Chen SL. How will limiting resident work hours impact surgical training?. Curr Surg. 2003;60:578–584
  12. Steinbrook R. The debate over residents’ work hours. N Engl J Med. 2002;347:1296–1302
  13. Defoe DM, Power ML, Holzman GB, et al.  Long hours and little sleep (work schedules of residents in obstetrics and gynecology). Obstet Gynecol. 2001;97:1015–1018
  14. American College of Surgeons . Statement on fundamental characteristics of surgical residency programs (ST-4). Bull Am Coll Surg. 1988;73:22–23
  15. Ruby ST, Allen L, Fielding LP, Deckers PJ. Survey of residents’ attitudes toward reform of work hours. Arch Surg. 1990;125:764–767 discussion 767–768
  16. Strunk CL, Bailey BJ, Scott BA, et al.  Resident work hours and working environment in otolaryngology. Analysis of daily activity and resident perception. JAMA. 1991;266:1371–1374
  17. Whang E, Perez A, Hiromichi I, et al.  Work hours reform. Perceptions and desires of contemporary surgical residents. J Am Coll Surg. 2003;197:624–630

 Supported by University of Michigan Office of the Dean.

PII: S1072-7515(04)00093-6

doi: 10.1016/j.jamcollsurg.2003.12.027

Journal of the American College of Surgeons
Volume 198, Issue 6 , Pages 989-993 , June 2004