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Realistic expectations and leadership in the era of work hour reform.

Publication ,  Conference
Gallagher, SF; Ross, SB; Haines, K; Shalhub, S; Fabri, PJ; Karl, RC; Murr, MM
Published in: The Journal of surgical research
June 2005

Work hour guidelines and core competencies were introduced to improve surgical education and are changing the landscape of surgical training. We sought to examine perceptions and attitudes regarding the impetus and impact associated with these changes.Anonymous surveys were distributed to faculty and surgeons-in-training in an Accreditation Council for Graduate Medical Education, university-based, training program.Faculty (F, n = 30) and trainees (T, n = 30) agree that lifestyle expectations and long work hours are the principal issues facing surgical education (F = 80%, T = 56%; P = 0.03). Implementation of ACGME guidelines is perceived as NOT improving patient care or clinical experience (F = 100%, T = 90%; P = 0.03) while reducing operative experience (F = 50%, T = 70%). More faculty (>80%) than trainees (33%) are concerned that ACGME guidelines will diminish patient care experiences. Although most (F = 77%, T = 83%; P = NS) agree that hiring additional providers will improve guideline compliance, many oppose ACGME guideline implementation fearing a loss of professionalism. Although both (F = 50%, T = 47%) admonish deficient interpersonal and communication skills as the major impediment to implementing ACGME guidelines, opinions regarding implementation differ. Most faculty (67%) believe ACGME-imposed deadlines are the most influential reason; however, trainees (57%) believe guidelines should be promptly implemented to address long-awaited changes in work environment and surgical graduate medical education.Although faculty and trainees' perception of the issues surrounding ACGME guidelines converge, perception of changes following implementation is quite divergent. For successful implementation, leadership must address prevailing attitudes and set realistic expectations. These trends have important implications for planning the future of surgical education, unifying multi-generational colleagues, and improving systems-based practice.

Duke Scholars

Published In

The Journal of surgical research

DOI

EISSN

1095-8673

ISSN

0022-4804

Publication Date

June 2005

Volume

126

Issue

2

Start / End Page

137 / 144

Related Subject Headings

  • Workload
  • Surveys and Questionnaires
  • Surgery
  • Quality of Life
  • Patient Care
  • Leadership
  • Internship and Residency
  • Humans
  • Guidelines as Topic
  • General Surgery
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gallagher, S. F., Ross, S. B., Haines, K., Shalhub, S., Fabri, P. J., Karl, R. C., & Murr, M. M. (2005). Realistic expectations and leadership in the era of work hour reform. In The Journal of surgical research (Vol. 126, pp. 137–144). https://doi.org/10.1016/j.jss.2004.11.027
Gallagher, Scott F., Sharona B. Ross, Krista Haines, Sherene Shalhub, P Jeff Fabri, Richard C. Karl, and Michel M. Murr. “Realistic expectations and leadership in the era of work hour reform.” In The Journal of Surgical Research, 126:137–44, 2005. https://doi.org/10.1016/j.jss.2004.11.027.
Gallagher SF, Ross SB, Haines K, Shalhub S, Fabri PJ, Karl RC, et al. Realistic expectations and leadership in the era of work hour reform. In: The Journal of surgical research. 2005. p. 137–44.
Gallagher, Scott F., et al. “Realistic expectations and leadership in the era of work hour reform.The Journal of Surgical Research, vol. 126, no. 2, 2005, pp. 137–44. Epmc, doi:10.1016/j.jss.2004.11.027.
Gallagher SF, Ross SB, Haines K, Shalhub S, Fabri PJ, Karl RC, Murr MM. Realistic expectations and leadership in the era of work hour reform. The Journal of surgical research. 2005. p. 137–144.
Journal cover image

Published In

The Journal of surgical research

DOI

EISSN

1095-8673

ISSN

0022-4804

Publication Date

June 2005

Volume

126

Issue

2

Start / End Page

137 / 144

Related Subject Headings

  • Workload
  • Surveys and Questionnaires
  • Surgery
  • Quality of Life
  • Patient Care
  • Leadership
  • Internship and Residency
  • Humans
  • Guidelines as Topic
  • General Surgery