Duty hour recommendations and implications for meeting the ACGME core competencies: Views of residency directors

Ryan M. Antiel, Scott M. Thompson, Frederic W. Hafferty, Katherine M. James, Jon C. Tilburt, Michael P. Bannon, Philip R. Fischer, David R. Farley, Darcy A. Reed

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To describe the views of residency program directors regarding the effect of the 2010 duty hour recommendations on the 6 core competencies of graduate medical education. METHODS: US residency program directors in internal medicine, pediatrics, and general surgery were e-mailed a survey from July 8 through July 20, 2010, after the 2010 Accreditation Council for Graduate Medical Education (ACGME) duty hour recommendations were published. Directors were asked to rate the implications of the new recommendations for the 6 ACGME core competencies as well as for continuity of inpatient care and resident fatigue. RESULTS: Of 719 eligible program directors, 464 (65%) responded. Most program directors believe that the new ACGME recommendations will decrease residents' continuity with hospitalized patients (404/464 [87%]) and will not change (303/464 [65%]) or will increase (26/464 [6%]) resident fatigue. Additionally, most program directors (249-363/464 [53%-78%]) believe that the new duty hour restrictions will decrease residents' ability to develop competency in 5 of the 6 core areas. Surgery directors were more likely than internal medicine directors to believe that the ACGME recommendations will decrease residents' competency in patient care (odds ratio [OR], 3.9; 95% confidence interval [CI], 2.5-6.3), medical knowledge (OR, 1.9; 95% CI, 1.2-3.2), practice-based learning and improvement (OR, 2.7; 95% CI, 1.7-4.4), interpersonal and communication skills (OR, 1.9; 95% CI, 1.2-3.0), and professionalism (OR, 2.5; 95% CI, 1.5-4.0). CONCLUSION: Residency program directors' reactions to ACGME duty hour recommendations demonstrate a marked degree of concern about educating a competent generation of future physicians in the face of increasing duty hour standards and regulation.

Original languageEnglish (US)
Pages (from-to)185-191
Number of pages7
JournalMayo Clinic Proceedings
Volume86
Issue number3
DOIs
StatePublished - 2011
Externally publishedYes

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Graduate Medical Education
Accreditation
Internship and Residency
Odds Ratio
Confidence Intervals
Internal Medicine
Fatigue
Aptitude
Continuity of Patient Care
Social Responsibility
Inpatients
Patient Care
Communication
Learning
Pediatrics
Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Antiel, R. M., Thompson, S. M., Hafferty, F. W., James, K. M., Tilburt, J. C., Bannon, M. P., ... Reed, D. A. (2011). Duty hour recommendations and implications for meeting the ACGME core competencies: Views of residency directors. Mayo Clinic Proceedings, 86(3), 185-191. https://doi.org/10.4065/mcp.2010.0635

Duty hour recommendations and implications for meeting the ACGME core competencies : Views of residency directors. / Antiel, Ryan M.; Thompson, Scott M.; Hafferty, Frederic W.; James, Katherine M.; Tilburt, Jon C.; Bannon, Michael P.; Fischer, Philip R.; Farley, David R.; Reed, Darcy A.

In: Mayo Clinic Proceedings, Vol. 86, No. 3, 2011, p. 185-191.

Research output: Contribution to journalArticle

Antiel, RM, Thompson, SM, Hafferty, FW, James, KM, Tilburt, JC, Bannon, MP, Fischer, PR, Farley, DR & Reed, DA 2011, 'Duty hour recommendations and implications for meeting the ACGME core competencies: Views of residency directors', Mayo Clinic Proceedings, vol. 86, no. 3, pp. 185-191. https://doi.org/10.4065/mcp.2010.0635
Antiel, Ryan M. ; Thompson, Scott M. ; Hafferty, Frederic W. ; James, Katherine M. ; Tilburt, Jon C. ; Bannon, Michael P. ; Fischer, Philip R. ; Farley, David R. ; Reed, Darcy A. / Duty hour recommendations and implications for meeting the ACGME core competencies : Views of residency directors. In: Mayo Clinic Proceedings. 2011 ; Vol. 86, No. 3. pp. 185-191.
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abstract = "OBJECTIVE: To describe the views of residency program directors regarding the effect of the 2010 duty hour recommendations on the 6 core competencies of graduate medical education. METHODS: US residency program directors in internal medicine, pediatrics, and general surgery were e-mailed a survey from July 8 through July 20, 2010, after the 2010 Accreditation Council for Graduate Medical Education (ACGME) duty hour recommendations were published. Directors were asked to rate the implications of the new recommendations for the 6 ACGME core competencies as well as for continuity of inpatient care and resident fatigue. RESULTS: Of 719 eligible program directors, 464 (65{\%}) responded. Most program directors believe that the new ACGME recommendations will decrease residents' continuity with hospitalized patients (404/464 [87{\%}]) and will not change (303/464 [65{\%}]) or will increase (26/464 [6{\%}]) resident fatigue. Additionally, most program directors (249-363/464 [53{\%}-78{\%}]) believe that the new duty hour restrictions will decrease residents' ability to develop competency in 5 of the 6 core areas. Surgery directors were more likely than internal medicine directors to believe that the ACGME recommendations will decrease residents' competency in patient care (odds ratio [OR], 3.9; 95{\%} confidence interval [CI], 2.5-6.3), medical knowledge (OR, 1.9; 95{\%} CI, 1.2-3.2), practice-based learning and improvement (OR, 2.7; 95{\%} CI, 1.7-4.4), interpersonal and communication skills (OR, 1.9; 95{\%} CI, 1.2-3.0), and professionalism (OR, 2.5; 95{\%} CI, 1.5-4.0). CONCLUSION: Residency program directors' reactions to ACGME duty hour recommendations demonstrate a marked degree of concern about educating a competent generation of future physicians in the face of increasing duty hour standards and regulation.",
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AU - Antiel, Ryan M.

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AU - James, Katherine M.

AU - Tilburt, Jon C.

AU - Bannon, Michael P.

AU - Fischer, Philip R.

AU - Farley, David R.

AU - Reed, Darcy A.

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N2 - OBJECTIVE: To describe the views of residency program directors regarding the effect of the 2010 duty hour recommendations on the 6 core competencies of graduate medical education. METHODS: US residency program directors in internal medicine, pediatrics, and general surgery were e-mailed a survey from July 8 through July 20, 2010, after the 2010 Accreditation Council for Graduate Medical Education (ACGME) duty hour recommendations were published. Directors were asked to rate the implications of the new recommendations for the 6 ACGME core competencies as well as for continuity of inpatient care and resident fatigue. RESULTS: Of 719 eligible program directors, 464 (65%) responded. Most program directors believe that the new ACGME recommendations will decrease residents' continuity with hospitalized patients (404/464 [87%]) and will not change (303/464 [65%]) or will increase (26/464 [6%]) resident fatigue. Additionally, most program directors (249-363/464 [53%-78%]) believe that the new duty hour restrictions will decrease residents' ability to develop competency in 5 of the 6 core areas. Surgery directors were more likely than internal medicine directors to believe that the ACGME recommendations will decrease residents' competency in patient care (odds ratio [OR], 3.9; 95% confidence interval [CI], 2.5-6.3), medical knowledge (OR, 1.9; 95% CI, 1.2-3.2), practice-based learning and improvement (OR, 2.7; 95% CI, 1.7-4.4), interpersonal and communication skills (OR, 1.9; 95% CI, 1.2-3.0), and professionalism (OR, 2.5; 95% CI, 1.5-4.0). CONCLUSION: Residency program directors' reactions to ACGME duty hour recommendations demonstrate a marked degree of concern about educating a competent generation of future physicians in the face of increasing duty hour standards and regulation.

AB - OBJECTIVE: To describe the views of residency program directors regarding the effect of the 2010 duty hour recommendations on the 6 core competencies of graduate medical education. METHODS: US residency program directors in internal medicine, pediatrics, and general surgery were e-mailed a survey from July 8 through July 20, 2010, after the 2010 Accreditation Council for Graduate Medical Education (ACGME) duty hour recommendations were published. Directors were asked to rate the implications of the new recommendations for the 6 ACGME core competencies as well as for continuity of inpatient care and resident fatigue. RESULTS: Of 719 eligible program directors, 464 (65%) responded. Most program directors believe that the new ACGME recommendations will decrease residents' continuity with hospitalized patients (404/464 [87%]) and will not change (303/464 [65%]) or will increase (26/464 [6%]) resident fatigue. Additionally, most program directors (249-363/464 [53%-78%]) believe that the new duty hour restrictions will decrease residents' ability to develop competency in 5 of the 6 core areas. Surgery directors were more likely than internal medicine directors to believe that the ACGME recommendations will decrease residents' competency in patient care (odds ratio [OR], 3.9; 95% confidence interval [CI], 2.5-6.3), medical knowledge (OR, 1.9; 95% CI, 1.2-3.2), practice-based learning and improvement (OR, 2.7; 95% CI, 1.7-4.4), interpersonal and communication skills (OR, 1.9; 95% CI, 1.2-3.0), and professionalism (OR, 2.5; 95% CI, 1.5-4.0). CONCLUSION: Residency program directors' reactions to ACGME duty hour recommendations demonstrate a marked degree of concern about educating a competent generation of future physicians in the face of increasing duty hour standards and regulation.

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