Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

Journal Article (Journal Article)

OBJECTIVE: To describe the perspectives of surgical interns regarding the implications of the new Accreditation Council for Graduate Medical Education (ACGME) duty-hour regulations for their training. DESIGN: We compared responses of interns and surgery program directors on a survey about the proposed ACGME mandates. SETTING: Eleven general surgery residency programs. PARTICIPANTS: Two hundred fifteen interns who were administered the survey during the summer of 2011 and a previously surveyed national sample of 134 surgery program directors. MAIN OUTCOME MEASURES: Perceptions of the implications of the new duty-hour restrictions on various aspects of surgical training, including the 6 ACGME core competencies of graduate medical education, measured using 3-point scales (increase, no change, or decrease). RESULTS: Of 215 eligible surgical interns, 179 (83.3%) completed the survey. Most interns believed that the new duty-hour regulations will decrease continuity with patients (80.3%), time spent operating (67.4%), and coordination of patient care (57.6%), while approximately half believed that the changes will decrease their acquisition of medical knowledge (48.0%), development of surgical skills (52.8%), and overall educational experience (51.1%). Most believed that the changes will improve or will not alter other aspects of training, and 61.5% believed that the new standards will decrease resident fatigue. Surgical interns were significantly less pessimistic than surgery program directors regarding the implications of the new duty-hour restrictions on all aspects of surgical training (P < .05 for all comparisons). CONCLUSIONS: Although less pessimistic than program directors, interns beginning their training under the new paradigm of duty-hour restrictions have significant concerns about the effect of these regulations on the quality of their training.

Full Text

Duke Authors

Cited Authors

  • Antiel, RM; Van Arendonk, KJ; Reed, DA; Terhune, KP; Tarpley, JL; Porterfield, JR; Hall, DE; Joyce, DL; Wightman, SC; Horvath, KD; Heller, SF; Farley, DR

Published Date

  • June 2012

Published In

Volume / Issue

  • 147 / 6

Start / End Page

  • 536 - 541

PubMed ID

  • 22786539

Electronic International Standard Serial Number (EISSN)

  • 1538-3644

Digital Object Identifier (DOI)

  • 10.1001/archsurg.2012.89


  • eng

Conference Location

  • United States