TY - JOUR
T1 - Effects of resident duty-hours restrictions on surgical and nonsurgical teaching faculty
AU - Vanderveen, Kimberly
AU - Chen, Michael
AU - Scherer, Lynette
PY - 2007/8
Y1 - 2007/8
N2 - Objective: To evaluate the effects of resident dutyhours restrictions on teaching faculty, patient care, and the institutional climate at a single center. Methods: An anonymous questionnaire was provided to all teaching faculty (N=606) at a single institution from March through October 2006. The questionnaire focused on perceptions of job satisfaction, workload changes, and effects on patient care and the institution. Results: Overall response rate was 41% (n=248). More than half of faculty (n=140 [56%]) feel they have less time for teaching, 33% report less time for extracurricular activities, and 42% report increased work hours. Forty-three percent of respondents (n=106) were less satisfied with their jobs after implementation of resident dutyhours restrictions, while only 2% (n=5) were more satisfied. Of the respondent faculty, surgeons were more likely than nonsurgeons to report increased work hours (54% vs 34%; P=.002), decreased time for teaching (66% vs 51%; P=.03), lower job satisfaction (55% vs 35%; P=.003), and negative effects on their personal relationships outside of work (24% vs 12%; P=.01). Although most responses suggest that the restrictions on resident duty hours have not adversely affected patient care or the institutional climate, 33% of respondents (n=82) felt that patient care was worse. Conclusions: Surgeons reported a particularly negative effect from resident duty-hours reform, especially within the areas of job satisfaction, time for teaching, and workload. Efforts to counteract these effects will be critical to maintain and recruit teaching faculty.
AB - Objective: To evaluate the effects of resident dutyhours restrictions on teaching faculty, patient care, and the institutional climate at a single center. Methods: An anonymous questionnaire was provided to all teaching faculty (N=606) at a single institution from March through October 2006. The questionnaire focused on perceptions of job satisfaction, workload changes, and effects on patient care and the institution. Results: Overall response rate was 41% (n=248). More than half of faculty (n=140 [56%]) feel they have less time for teaching, 33% report less time for extracurricular activities, and 42% report increased work hours. Forty-three percent of respondents (n=106) were less satisfied with their jobs after implementation of resident dutyhours restrictions, while only 2% (n=5) were more satisfied. Of the respondent faculty, surgeons were more likely than nonsurgeons to report increased work hours (54% vs 34%; P=.002), decreased time for teaching (66% vs 51%; P=.03), lower job satisfaction (55% vs 35%; P=.003), and negative effects on their personal relationships outside of work (24% vs 12%; P=.01). Although most responses suggest that the restrictions on resident duty hours have not adversely affected patient care or the institutional climate, 33% of respondents (n=82) felt that patient care was worse. Conclusions: Surgeons reported a particularly negative effect from resident duty-hours reform, especially within the areas of job satisfaction, time for teaching, and workload. Efforts to counteract these effects will be critical to maintain and recruit teaching faculty.
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U2 - 10.1001/archsurg.142.8.759
DO - 10.1001/archsurg.142.8.759
M3 - Article
C2 - 17709730
AN - SCOPUS:34548087016
VL - 142
SP - 759
EP - 764
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 8
ER -