Duty hour restrictions and surgical complications for head and neck key indicator procedures

Graduate medical education has traditionally required long work hours, allowing trainees little time for adequate rest. Based on concerns over performance deterioration with sleep deprivation and its effect on patient outcomes, duty hour restrictions have been mandated. We sought to characterize complications from otolaryngology key indicator procedures performed before and after duty hour reform.

[1]  Jeanette W. Chung,et al.  Development of the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) Trial Protocol: A National Cluster-Randomized Trial of Resident Duty Hour Policies. , 2016, JAMA surgery.

[2]  R. Weil,et al.  National Incidence of Medication Error in Surgical Patients Before and After Accreditation Council for Graduate Medical Education Duty-Hour Reform. , 2015, Journal of surgical education.

[3]  N. Bhattacharyya,et al.  Patterns of hospital utilization for head and neck cancer care: changing demographics. , 2015, JAMA otolaryngology-- head & neck surgery.

[4]  Jeanette W. Chung,et al.  Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. , 2014, JAMA.

[5]  M. Boakye,et al.  Morbidity, mortality, and health care costs for patients undergoing spine surgery following the ACGME resident duty-hour reform: Clinical article. , 2014, Journal of neurosurgery. Spine.

[6]  M. Abaza,et al.  State of the Otolaryngology Match: Has Competition Increased since the Early Match? , 2014 .

[7]  S. Haines,et al.  The effect of duty hour regulations on outcomes of neurological surgery in training hospitals in the United States: duty hour regulations and patient outcomes. , 2014, Journal of neurosurgery.

[8]  M. Boakye,et al.  Worse outcomes for patients undergoing brain tumor and cerebrovascular procedures following the ACGME resident duty-hour restrictions. , 2014, Journal of neurosurgery.

[9]  G. Meyer,et al.  Comparing Teaching Versus Nonteaching Hospitals: The Association of Patient Characteristics With Teaching Intensity for Three Common Medical Conditions , 2014, Academic medicine : journal of the Association of American Medical Colleges.

[10]  Robert H Miller,et al.  The Effect of Duty Hour Regulation on Resident Surgical Case Volume in Otolaryngology , 2013, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[11]  L. Feldman,et al.  A Systematic Review of the Effects of Resident Duty Hour Restrictions in Surgery Impact on Resident Wellness, Training, and Patient Outcomes , 2014 .

[12]  S. Desai,et al.  Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. , 2013, JAMA internal medicine.

[13]  Anand I. Rughani,et al.  Trends in neurosurgical complication rates at teaching vs nonteaching hospitals following duty-hour restrictions. , 2012, Neurosurgery.

[14]  J. Mocco,et al.  Higher complications and no improvement in mortality in the ACGME resident duty-hour restriction era: an analysis of more than 107,000 neurosurgical trauma patients in the Nationwide Inpatient Sample database. , 2012, Neurosurgery.

[15]  J. Coselli,et al.  Impact of ACGME work-hour restrictions on the outcomes of coronary artery bypass grafting in a cohort of 600,000 patients. , 2010, The Journal of surgical research.

[16]  C. Cook,et al.  Resident duty-hour reform associated with increased morbidity following hip fracture. , 2009, The Journal of bone and joint surgery. American volume.

[17]  A. Alshekhlee,et al.  The impact of Accreditation Council for Graduate Medical Education duty hours, the July phenomenon, and hospital teaching status on stroke outcomes. , 2009, Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.

[18]  Erik N. Kubiak,et al.  Resident work-hour rules: a survey of residents' and program directors' opinions and attitudes. , 2007, American journal of orthopedics.

[19]  M. Chen,et al.  Effects of resident duty-hours restrictions on surgical and nonsurgical teaching faculty. , 2007, Archives of surgery.

[20]  P. Rhee,et al.  Impact of the 80-hour workweek on patient care at a level I trauma center. , 2007, Archives of surgery.

[21]  H. Karamanoukian,et al.  The Effects of Restricted Work Hours on Clinical Training , 2006, The American surgeon.

[22]  J. Cofer,et al.  Duty-Hour Restrictions and the Work of Surgical Faculty: Results of a Multi-Institutional Study , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[23]  R. Ossoff,et al.  Otolaryngology-head and neck surgery residency match: applicant survey. , 2004, Archives of otolaryngology--head & neck surgery.

[24]  K. Schechtman,et al.  How competitive is my surgical specialty? , 2002, American journal of surgery.

[25]  R. Beran National resident matching program. , 1999, Gastroenterology.