Selected Manuscripts from the 2004 CREOG and APGO Annual MeetingImpact of work hour restrictions on resident case experience in an obstetrics and gynecology residency program
Section snippets
Material and methods
In this retrospective cohort study, we evaluated surgical and procedural case experience of fourth-year residents in the CWRU-MHMC/CCF residency program in obstetrics and gynecology. Exemption from Institutional Review Board approval was obtained [Section 46.101(b)(1) of the Federal Regulations].
The CWRU-MHMC/CCF residency program in obstetrics and gynecology is an integrated program. Residents' rotations take place both at MHMC (an urban, 750-bed tertiary care referral center, serving a
Results
Obstetrics and gynecology experience from 2 PGY4 classes was evaluated (5 residents per class). Comparison of work hours before (average 84 duty hours per week) and after (average 66 duty hours per week) adoption of work hour restrictions revealed a decrease of 21.4%.
Evaluation of gynecologic experience before and after work hour restrictions (2001-2002 and 2002-2003, respectively) revealed both increases and decreases in cases performed by residents (Table II). There was significant decrease
Comment
In 1989, the New York State Legislature enacted New York State Code 405 in response to the death of a patient in a New York City hospital.7 It established regulations on working hours and scheduled time off for certain members of the medical staff and postgraduate trainees of hospitals in New York State. Stiff fines were established for those hospitals cited for noncompliance.8 The ACGME began to develop duty hours standards for some specialties as early as the 1980s. In 2001, the ACGME
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Work hours of employed obstetricians in Taiwan
2018, Taiwanese Journal of Obstetrics and GynecologyCitation Excerpt :In 2001, the United States House of Representatives passed the bill The Patient and Physician Safety and Protection Act, which was also intended to reduce the work hours of residents and increase supervision [2]. Two years later, the Accreditation Council for Graduate Medical Education (ACGME) implemented resident duty hour restriction [3]. Both of them were applicable only to physicians in postgraduate and resident training.
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2016, Obstetrics: Normal and Problem PregnanciesProficiency for advanced laparoscopic procedures in gynecologic residency program: Do all residents need to be trained?
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2014, Journal of Minimally Invasive GynecologyDeveloping a program, a curriculum, a scenario
2013, Seminars in PerinatologyCitation Excerpt :Hands-on “refresher” courses encompassing emergency and procedural scenarios have also been implemented for practicing specialists and subspecialists. Resident work-hour restrictions,17 limited hands-on training opportunities for house staff, and the potential for “mandatory minimum” case requirements for hospital credentialing suggest that the use of simulation in medical education will continue to grow in magnitude, scope, and relevance. Thus, to remain current, teaching institutions and community programs in obstetrics and maternal–fetal medicine must develop or participate in simulation training.
Presented at the 2004 CREOG and APGO Annual Meeting, Lake Buena Vista, Fla, March 3-6, 2004.
Reprints not available from the authors.