Disparate Perceptions of Resident Physicians, Faculty Physicians, and Program Directors on the 2011 ACGME Work Hour Regulations

摘要

The Accreditation Council for Graduate Medical Education (ACGME) mandated restriction of resident duty hours initially in 2003, and again in 2011.1 A systematic review of 27 studies conducted between 2010 and 2014 published in the September 2015 issue of the Journal of Graduate Medical Education2 highlighted unintended consequences of duty hour limits, including a negative impact on residency education and a lack of improvement in resident well-being or patient care. To explore how different stakeholders perceive the 2011 ACGME resident duty hour limits, we surveyed faculty, program directors, and residents in 131 internal medicine residency programs in the northeastern United States. The findings were thought provoking, showing that: 1.Among trainees at different postgraduate levels (PGY-1 to PGY-7), faculty physicians, and program directors, there was a significant difference in the perceptions of duty hour restrictions on patient care (P?