By JAMA and Archives Journals, [RxPG] Internal medicine faculty heavily involved in residency programs believe that resident duty-hour limitations negatively affect aspects of residentsï¿½ patient care, education and professionalism, but improve residentsï¿½ well-being, according to a report in the July 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.
Residency duty-hour restrictions were put into place in 2003 to reduce the risk of negative events resulting from sleep deprivation and to improve residentsï¿½ well-being. ï¿½Before implementation of duty-hour regulations, some cautioned that reductions in duty hours may have unanticipated negative effects on patient care, resident education and professionalism,ï¿½ according to background information in the article. Some also feared that reducing residentsï¿½ duty hours would increase clinical faculty workload.
Darcy A. Reed, M.D., M.P.H., of the Mayo Clinic College of Medicine, Rochester, Minn., and colleagues surveyed 154 key clinical faculty from 39 internal medicine residency programs affiliated with U.S. medical schools in 2005 to obtain their views on the effect of residentsï¿½ duty-hour limitations. Key clinical faculty consists of faculty members who dedicate at least 15 hours per week to the residency program and provide clinical teaching and supervision of residents.
Of the 154 faculty members targeted, 111 (72 percent) responded. Three-fourths of them had five or more years teaching residents and one-third had more than 15 years of experience.
Key clinical faculty reported they believe resident duty-hour restrictions:
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