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Related Experiment Videos

Has the 80-hour work week increased faculty hours?

Emily R Winslow1, Lisa Berger, Mary E Klingensmith

  • 1Department of Surgery, Washington University School of Medicine, 660 South Euclid, Box 8109, St. Louis, MO 63110, USA. winslowe@msnotes.wustl.edu

Current Surgery
|December 14, 2004
PubMed
Summary

The 80-hour work week for surgical residents did not increase faculty work hours. However, most faculty believe patient care and resident education have worsened since its implementation.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Workforce Management

Background:

  • The implementation of an 80-hour work week for surgical residents aimed to improve resident well-being.
  • The impact of these restrictions on faculty workload and perceptions remains an area of concern.

Purpose of the Study:

  • To assess the effect of resident hour restrictions on faculty work hours.
  • To evaluate faculty attitudes towards patient care and resident education post-implementation.

Main Methods:

  • Anonymous surveys administered to surgical faculty at a large academic medical center.
  • Data collected 6 months pre- and 6 months post-implementation of the 80-hour resident work week.
  • Analysis included faculty work hours, patient care, and resident education quality.

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Main Results:

  • Faculty work hours did not significantly change (average 69.9 hours/week post-implementation vs. 70.4 hours/week pre-implementation).
  • A majority of faculty (50%) perceived a decline in patient care quality, particularly general surgeons (70%).
  • Faculty working >80 hours/week were more likely to report negative impacts on patient care (56%) and training (100%).

Conclusions:

  • The 80-hour resident work week has not led to increased faculty hours.
  • Despite no change in faculty workload, a significant portion of faculty perceive a decline in patient care and resident education quality.