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Elimination of 24-hour continuous medical resident duty in Quebec
Fadi Hamadani1, Dan Deckelbaum1, Mohammed Shaheen1
1From the Dividion of General Surgery, McGill University Health Centre, Montreal, Que. (Hamadani, Deckelbaum, Shaheen, Latulippe, Fata); the Department of Surgery, St. Michael's Hospital, Toronto, Ont. (Ahmed); the Hôpital Maisonneuve-Rosemont, Department of Surgery, Université de Montréal, Montreal, Que. (Latulippe); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Balaa); and the Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, NS (Walsh).
Summary:
In 2012 Quebec limited continuous in-hospital duty to 16 consecutive hours for all residents regardless of postgraduate (PGY) level. The new restrictions in Quebec appeared to have a profound, negative effect on the quality of life of surgical residents at McGill University and a perceived detrimental effect on the delivery of surgical education and patient care. Here we discuss the results of a nationwide survey that we created and distributed to general surgery residents across Canada to capture and compare their perceptions of the changes to duty hour restrictions.
