The 80-hour work week: Will we have less-experienced graduating surgeons?

Benjamin T. Jarman, Marcus R. Miller, R. Shane Brown, Scott Armen, Anthony G. Bozaan, George T. Ho, Thomas H. Hartranft

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Objective: Our primary concern when modifying the Mount Carmel Medical Center surgical residency to comply with the "80-hour work week" was the effect on operative experience. Our goal was to measure the impact that work-hour restrictions have on operative volumes and to evaluate the potential benefit of a night rotation to minimize the number of "lost operations." Design: Categorical surgical residents (PGY I-IV) recorded missed surgical procedures on post-call days from September 1, 2002 to March 31, 2004. The data collection is split between the pre-night rotation (September 1, 2002 to March 31, 2003) and post-night rotation (April 1, 2003 to March 31, 2004) periods. The post-night rotation period is further divided to account for the end of the academic year. Previous graduate operative logs were reviewed for comparison. Setting: Mount Carmel Health System is a tertiary referral, community-based hospital in Columbus, Ohio. Participants. Categorical general surgery residents (Postgraduate Years I to V). Results In the 7-month period, extending from September 1, 2002 to March 31, 2003, the average number of missed cases for successive levels was PGY I: 21, PGY II: 31, PGY III: 26, and PGY IV: 40. From April 1, 2003 to June 30, 2003, the average number of missed cases for successive levels was PGY I: 3, PGY II: 7, PGY III: 5, and PGY IV: 6. From July 1, 2003 to March 31, 2004, the average number of missed cases for successive levels was PGY I: 34, PGY II: 8, PGY III: 14, and PGY IV: 30. Before the implementation of a night rotation, residents were projected to miss an average of 202 operations over 4 years. After implementation of a night rotation, the projected loss would drop to 107 operations over 4 years. Conclusions: Work-hour restrictions result in a significant decrease in operative experience. This detriment can be partially alleviated with the institution of a night rotation to better regulate in-house call.

Original languageEnglish (US)
Pages (from-to)612-615
Number of pages4
JournalCurrent surgery
Volume61
Issue number6
DOIs
StatePublished - Nov 1 2004

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resident
House Calls
Community Hospital
Internship and Residency
Surgeons
surgery
experience
Referral and Consultation
graduate
Health
health
community

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Jarman, B. T., Miller, M. R., Brown, R. S., Armen, S., Bozaan, A. G., Ho, G. T., & Hartranft, T. H. (2004). The 80-hour work week: Will we have less-experienced graduating surgeons? Current surgery, 61(6), 612-615. https://doi.org/10.1016/j.cursur.2004.06.016
Jarman, Benjamin T. ; Miller, Marcus R. ; Brown, R. Shane ; Armen, Scott ; Bozaan, Anthony G. ; Ho, George T. ; Hartranft, Thomas H. / The 80-hour work week : Will we have less-experienced graduating surgeons?. In: Current surgery. 2004 ; Vol. 61, No. 6. pp. 612-615.
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Jarman, BT, Miller, MR, Brown, RS, Armen, S, Bozaan, AG, Ho, GT & Hartranft, TH 2004, 'The 80-hour work week: Will we have less-experienced graduating surgeons?', Current surgery, vol. 61, no. 6, pp. 612-615. https://doi.org/10.1016/j.cursur.2004.06.016

The 80-hour work week : Will we have less-experienced graduating surgeons? / Jarman, Benjamin T.; Miller, Marcus R.; Brown, R. Shane; Armen, Scott; Bozaan, Anthony G.; Ho, George T.; Hartranft, Thomas H.

In: Current surgery, Vol. 61, No. 6, 01.11.2004, p. 612-615.

Research output: Contribution to journalArticle

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T2 - Will we have less-experienced graduating surgeons?

AU - Jarman, Benjamin T.

AU - Miller, Marcus R.

AU - Brown, R. Shane

AU - Armen, Scott

AU - Bozaan, Anthony G.

AU - Ho, George T.

AU - Hartranft, Thomas H.

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N2 - Objective: Our primary concern when modifying the Mount Carmel Medical Center surgical residency to comply with the "80-hour work week" was the effect on operative experience. Our goal was to measure the impact that work-hour restrictions have on operative volumes and to evaluate the potential benefit of a night rotation to minimize the number of "lost operations." Design: Categorical surgical residents (PGY I-IV) recorded missed surgical procedures on post-call days from September 1, 2002 to March 31, 2004. The data collection is split between the pre-night rotation (September 1, 2002 to March 31, 2003) and post-night rotation (April 1, 2003 to March 31, 2004) periods. The post-night rotation period is further divided to account for the end of the academic year. Previous graduate operative logs were reviewed for comparison. Setting: Mount Carmel Health System is a tertiary referral, community-based hospital in Columbus, Ohio. Participants. Categorical general surgery residents (Postgraduate Years I to V). Results In the 7-month period, extending from September 1, 2002 to March 31, 2003, the average number of missed cases for successive levels was PGY I: 21, PGY II: 31, PGY III: 26, and PGY IV: 40. From April 1, 2003 to June 30, 2003, the average number of missed cases for successive levels was PGY I: 3, PGY II: 7, PGY III: 5, and PGY IV: 6. From July 1, 2003 to March 31, 2004, the average number of missed cases for successive levels was PGY I: 34, PGY II: 8, PGY III: 14, and PGY IV: 30. Before the implementation of a night rotation, residents were projected to miss an average of 202 operations over 4 years. After implementation of a night rotation, the projected loss would drop to 107 operations over 4 years. Conclusions: Work-hour restrictions result in a significant decrease in operative experience. This detriment can be partially alleviated with the institution of a night rotation to better regulate in-house call.

AB - Objective: Our primary concern when modifying the Mount Carmel Medical Center surgical residency to comply with the "80-hour work week" was the effect on operative experience. Our goal was to measure the impact that work-hour restrictions have on operative volumes and to evaluate the potential benefit of a night rotation to minimize the number of "lost operations." Design: Categorical surgical residents (PGY I-IV) recorded missed surgical procedures on post-call days from September 1, 2002 to March 31, 2004. The data collection is split between the pre-night rotation (September 1, 2002 to March 31, 2003) and post-night rotation (April 1, 2003 to March 31, 2004) periods. The post-night rotation period is further divided to account for the end of the academic year. Previous graduate operative logs were reviewed for comparison. Setting: Mount Carmel Health System is a tertiary referral, community-based hospital in Columbus, Ohio. Participants. Categorical general surgery residents (Postgraduate Years I to V). Results In the 7-month period, extending from September 1, 2002 to March 31, 2003, the average number of missed cases for successive levels was PGY I: 21, PGY II: 31, PGY III: 26, and PGY IV: 40. From April 1, 2003 to June 30, 2003, the average number of missed cases for successive levels was PGY I: 3, PGY II: 7, PGY III: 5, and PGY IV: 6. From July 1, 2003 to March 31, 2004, the average number of missed cases for successive levels was PGY I: 34, PGY II: 8, PGY III: 14, and PGY IV: 30. Before the implementation of a night rotation, residents were projected to miss an average of 202 operations over 4 years. After implementation of a night rotation, the projected loss would drop to 107 operations over 4 years. Conclusions: Work-hour restrictions result in a significant decrease in operative experience. This detriment can be partially alleviated with the institution of a night rotation to better regulate in-house call.

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