Do More-Rigorous New Resident Duty Hours Improve Care and Education?

Program directors approve of changes, but perceive poorer education and continuity of care.

In 2011, the Accreditation Council for Graduate Medical Education (ACGME) implemented additional restrictions to residency duty hours intended to improve the educational experience as well as patient care. Researchers compared surveys of 151 pediatric program directors (PDs) with that of PDs from surgical and internal medicine.

Most pediatric PDs approved the individual aspects of the new regulations, but 72% disapproved of the 16-hour duty periods for postgraduate year 1 residents (PGY1). Compared with surgical and internal medicine PDs, pediatric PDs were more likely to approve of direct PGY1 supervision and a required 8 hours between shifts. Pediatric PDs were also more likely to report worsening resident fatigue and resident quality of l…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Do More-Rigorous New Resident Duty Hours Improve Care and Education?

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Reviewing Author