Abstract
Background
Since the inception of resident work-hour regulations, there has been considerable concern regarding the influence of decreased work hours on graduate medical education. In particular, it is unclear whether implementation of work-hour restrictions has influenced resident academic performance as defined by quantity of peer-reviewed publications while participating in graduate medical education.
Questions/purposes
We determined the impact of work-hour changes on resident involvement in the number of published clinical studies, laboratory research, case reports, and review articles.
Methods
We conducted a PubMed literature search of 139 consecutive orthopaedic surgery residents (789 total resident-years) at one institution from academic years 1995–1996 to 2008–2009. This represented a continuous timeline before and after implementation of work-hour restrictions. The number of resident publications before and after implementation of work-hour changes was compared.
Results
There was a greater probability of peer review authorship in any given resident-year after work-hour changes than before. Average publications per resident-year increased for total articles, clinical articles, case reports, and reviews. There was an increased rate of publications in which the resident was the first author.
Conclusions
Since implementation of work-hour changes, total resident publications and publications per resident-year have increased.
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References
Ahn J, Man LX, Wanderer J, Bernstein J, Iannotti JP. The future of the orthopaedic clinician-scientist. Part I: The potential role of MD-PhD students considering orthopaedic surgery. J Bone Joint Surg Am. 2008;90:1794–1799.
Ahn J, Watt CD, Greeley SA, Bernstein J. MD-PhD students in a major training program show strong interest in becoming surgeon-scientists. Clin Orthop Relat Res. 2004;425:258–263.
Barden CB, Specht MC, McCarter MD, Daly JM, Fahey TJ 3rd. Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195:531–538.
Baskies MA, Ruchelsman DE, Capeci CM, Zuckerman JD, Egol KA. Operative experience in an orthopaedic surgery residency program: the effect of work-hour restrictions. J Bone Joint Surg Am. 2008;90:924–927.
Bhandari M, Devereaux PJ, Guyatt GH, Cook DJ, Swiontkowski MF, Sprague S, Schemitsch EH. An observational study of orthopaedic abstracts and subsequent full-text publications. J Bone Joint Surg Am. 2002;84:615–621.
DeMola PM, Hill DL, Rogers K, Abboud JA. Publication rate of abstracts presented at the shoulder and elbow session of the American Academy of Orthopaedic Surgery. Clin Orthop Relat Res. 2009;467:1629–1633.
Donegan DJ, Kim TW, Lee GC. Publication rates of presentations at an annual meeting of the American Academy of Orthopaedic Surgeons. Clin Orthop Relat Res. 2009 Nov 24. [Epub ahead of print].
Elder NC, Blake RL Jr. Publication patterns of presentations at the Society of Teachers of Family Medicine and North American Primary Care Research Group annual meetings. Fam Med. 1994;26:352–355.
Elliott ST, Lee ES. Surgical resident research productivity over 16 years. J Surg Res. 2009;153:148–151.
Gavazza JB, Foulkes GD, Meals RA. Publication pattern of papers presented at the American Society for Surgery of the Hand annual meeting. J Hand Surg Am. 1996;21:742–745.
Hassett JM, Nawotniak R, Cummiskey D, Berger R, Posner A, Seibel R, Hoover E. Maintaining outcomes in a surgical residency while complying with resident working hour regulations. Surgery. 2002;132:635–639; discussion 639–641.
Kohn KT, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999.
Kusuma SK, Mehta S, Sirkin M, Yates AJ, Miclau T, Templeton KJ, Friedlaender GE. Measuring the attitudes and impact of the eighty-hour workweek rules on orthopaedic surgery residents. J Bone Joint Surg Am. 2007;89:679–685.
NY Comp. Codes R & Regs. Section 405.4.2002.
Portney LG, Watkins MP. Foundations of Clinical Research Applications to Practice: Appendix C Power Analysis and Determination of Sample Size. Stamford, CT: Appleton and Lange; 1993:651–661.
Report of the New York State Department of Health Ad Hoc Advisory Committee on Emergency Services. Supervision and Residents’ Working Conditions. Albany, NY: New York State Department of Health; 1987 Oct 7.
Suarez-Almazor ME, Belseck E, Homik J, Dorgan M, Ramos-Remus C. Identifying clinical trials in the medical literature with electronic databases: MEDLINE alone is not enough. Control Clin Trials. 2000;21:476–487.
Wilkins T, Gillies RA, Davies K. EMBASE versus MEDLINE for family medicine searches: can MEDLINE searches find the forest or a tree? Can Fam Physician. 2005;51:848–849.
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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.
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Namdari, S., Baldwin, K.D., Weinraub, B. et al. Changes in the Number of Resident Publications after Inception of the 80-hour Work Week. Clin Orthop Relat Res 468, 2278–2283 (2010). https://doi.org/10.1007/s11999-010-1252-5
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DOI: https://doi.org/10.1007/s11999-010-1252-5