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Related Experiment Video

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Decrease in junior resident case volume after 2011 ACGME work hours.

Tovy Haber Kamine1, Stephen Gondek2, Tara S Kent1

  • 1Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Journal of Surgical Education
|September 23, 2014
PubMed
Summary
This summary is machine-generated.

New Accreditation Council for Graduate Medical Education work hour regulations in 2011 led to decreased surgical case volumes for interns and PGY-2 residents. However, PGY-3 case numbers rose, and graduating chief residents accumulated more cases overall.

Keywords:
Medical KnowledgePatient CarePractice-Based Learning and Improvementsurgical educationsurgical residencywork hours

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Area of Science:

  • Medical Education
  • Surgical Training
  • Healthcare Policy

Background:

  • The Accreditation Council for Graduate Medical Education implemented new work hour regulations in 2011.
  • These changes aimed to improve resident well-being and education.
  • The impact on surgical trainee case volume requires evaluation.

Purpose of the Study:

  • To determine the effect of the 2011 Accreditation Council for Graduate Medical Education work hour regulations on surgical resident case volume.
  • To analyze changes in case volume across different postgraduate year (PGY) levels.

Main Methods:

  • Retrospective review of surgical resident case logs from 2006 to 2013.
  • Data collected from a tertiary care center.
  • Included all categorical surgical residents during the study period.

Main Results:

  • PGY-1 and PGY-2 case volumes significantly decreased post-2011.
  • The percentage of PGY-2 residents meeting the 250-major case benchmark dropped from 82% to 45%.
  • PGY-3 case volume increased significantly, and graduating chief residents demonstrated a higher total case volume.

Conclusions:

  • The 2011 work hour regulations led to reduced case volumes for junior surgical residents (PGY-1, PGY-2).
  • While PGY-3 and chief resident case volumes increased, the regulations did not enhance the intern educational experience in terms of case volume.
  • Programmatic adjustments are necessary to meet the 250-case minimum for PGY-2 residents by 2014, as required by the American Board of Surgery.