Duty-hour restrictions and the work of surgical faculty: Results of a multi-institutional study

James E. Coverdill, William Finlay, Gina L. Adrales, John D. Mellinger, Kimberly D. Anderson, Bruce W. Bonnell, Joseph B. Cofer, Douglas B. Dorner, Carl Haisch, Kristi L. Harold, Paula M. Termuhlen, Alexandra L B Webb

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

PURPOSE: To examine whether duty-hour restrictions have been consequential for various aspects of the work of surgical faculty and if those consequences differ for faculty in academic and nonacademic general surgery residency programs. METHOD: Questionnaires were distributed in 2004 to 233 faculty members in five academic and four nonacademic U.S. residency programs in general surgery. Participation was restricted to those who had been faculty for at least one year. Ten items on the questionnaire probed faculty work experiences. Results include means, percentages, and t-tests on mean differences. Of the 146 faculty members (63%) who completed the questionnaire, 101 volunteered to be interviewed. Of these, 28 were randomly chosen for follow-up interviews that probed experiences and rationales underlying items on the questionnaire. Interview transcripts (187 single-spaced pages) were analyzed for main themes. RESULTS: Questionnaire respondents and interviewees associated duty-hour restrictions with lowered faculty expectations and standards for residents, little change in the supervision of residents, a loss of time for teaching, increased work and stress, and less satisfaction. No significant differences in these perceptions (p ≤ .05) were found for faculty in academic and nonacademic programs. Main themes from the interviews included a shift of routine work from residents to faculty, a transfer of responsibility to faculty, more frequent skill gaps at night, a loss of time for research, and the challenges of controlling residents' hours. CONCLUSIONS: Duty-hour restrictions have been consequential for the work of surgical faculty. Faculty should not be overlooked in future studies of duty-hour restrictions.

Original languageEnglish (US)
Pages (from-to)50-56
Number of pages7
JournalAcademic Medicine
Volume81
Issue number1
DOIs
StatePublished - Jan 2006

Fingerprint

questionnaire
resident
Interviews
Internship and Residency
surgery
interview
Surveys and Questionnaires
Teaching
supervision
experience
responsibility
participation
Research
time

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Coverdill, J. E., Finlay, W., Adrales, G. L., Mellinger, J. D., Anderson, K. D., Bonnell, B. W., ... Webb, A. L. B. (2006). Duty-hour restrictions and the work of surgical faculty: Results of a multi-institutional study. Academic Medicine, 81(1), 50-56. https://doi.org/10.1097/00001888-200601000-00014

Duty-hour restrictions and the work of surgical faculty : Results of a multi-institutional study. / Coverdill, James E.; Finlay, William; Adrales, Gina L.; Mellinger, John D.; Anderson, Kimberly D.; Bonnell, Bruce W.; Cofer, Joseph B.; Dorner, Douglas B.; Haisch, Carl; Harold, Kristi L.; Termuhlen, Paula M.; Webb, Alexandra L B.

In: Academic Medicine, Vol. 81, No. 1, 01.2006, p. 50-56.

Research output: Contribution to journalArticle

Coverdill, JE, Finlay, W, Adrales, GL, Mellinger, JD, Anderson, KD, Bonnell, BW, Cofer, JB, Dorner, DB, Haisch, C, Harold, KL, Termuhlen, PM & Webb, ALB 2006, 'Duty-hour restrictions and the work of surgical faculty: Results of a multi-institutional study', Academic Medicine, vol. 81, no. 1, pp. 50-56. https://doi.org/10.1097/00001888-200601000-00014
Coverdill JE, Finlay W, Adrales GL, Mellinger JD, Anderson KD, Bonnell BW et al. Duty-hour restrictions and the work of surgical faculty: Results of a multi-institutional study. Academic Medicine. 2006 Jan;81(1):50-56. https://doi.org/10.1097/00001888-200601000-00014
Coverdill, James E. ; Finlay, William ; Adrales, Gina L. ; Mellinger, John D. ; Anderson, Kimberly D. ; Bonnell, Bruce W. ; Cofer, Joseph B. ; Dorner, Douglas B. ; Haisch, Carl ; Harold, Kristi L. ; Termuhlen, Paula M. ; Webb, Alexandra L B. / Duty-hour restrictions and the work of surgical faculty : Results of a multi-institutional study. In: Academic Medicine. 2006 ; Vol. 81, No. 1. pp. 50-56.
@article{e80de671b29b4b96bc2c004dfe8a095c,
title = "Duty-hour restrictions and the work of surgical faculty: Results of a multi-institutional study",
abstract = "PURPOSE: To examine whether duty-hour restrictions have been consequential for various aspects of the work of surgical faculty and if those consequences differ for faculty in academic and nonacademic general surgery residency programs. METHOD: Questionnaires were distributed in 2004 to 233 faculty members in five academic and four nonacademic U.S. residency programs in general surgery. Participation was restricted to those who had been faculty for at least one year. Ten items on the questionnaire probed faculty work experiences. Results include means, percentages, and t-tests on mean differences. Of the 146 faculty members (63{\%}) who completed the questionnaire, 101 volunteered to be interviewed. Of these, 28 were randomly chosen for follow-up interviews that probed experiences and rationales underlying items on the questionnaire. Interview transcripts (187 single-spaced pages) were analyzed for main themes. RESULTS: Questionnaire respondents and interviewees associated duty-hour restrictions with lowered faculty expectations and standards for residents, little change in the supervision of residents, a loss of time for teaching, increased work and stress, and less satisfaction. No significant differences in these perceptions (p ≤ .05) were found for faculty in academic and nonacademic programs. Main themes from the interviews included a shift of routine work from residents to faculty, a transfer of responsibility to faculty, more frequent skill gaps at night, a loss of time for research, and the challenges of controlling residents' hours. CONCLUSIONS: Duty-hour restrictions have been consequential for the work of surgical faculty. Faculty should not be overlooked in future studies of duty-hour restrictions.",
author = "Coverdill, {James E.} and William Finlay and Adrales, {Gina L.} and Mellinger, {John D.} and Anderson, {Kimberly D.} and Bonnell, {Bruce W.} and Cofer, {Joseph B.} and Dorner, {Douglas B.} and Carl Haisch and Harold, {Kristi L.} and Termuhlen, {Paula M.} and Webb, {Alexandra L B}",
year = "2006",
month = "1",
doi = "10.1097/00001888-200601000-00014",
language = "English (US)",
volume = "81",
pages = "50--56",
journal = "Academic Medicine",
issn = "1040-2446",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Duty-hour restrictions and the work of surgical faculty

T2 - Results of a multi-institutional study

AU - Coverdill, James E.

AU - Finlay, William

AU - Adrales, Gina L.

AU - Mellinger, John D.

AU - Anderson, Kimberly D.

AU - Bonnell, Bruce W.

AU - Cofer, Joseph B.

AU - Dorner, Douglas B.

AU - Haisch, Carl

AU - Harold, Kristi L.

AU - Termuhlen, Paula M.

AU - Webb, Alexandra L B

PY - 2006/1

Y1 - 2006/1

N2 - PURPOSE: To examine whether duty-hour restrictions have been consequential for various aspects of the work of surgical faculty and if those consequences differ for faculty in academic and nonacademic general surgery residency programs. METHOD: Questionnaires were distributed in 2004 to 233 faculty members in five academic and four nonacademic U.S. residency programs in general surgery. Participation was restricted to those who had been faculty for at least one year. Ten items on the questionnaire probed faculty work experiences. Results include means, percentages, and t-tests on mean differences. Of the 146 faculty members (63%) who completed the questionnaire, 101 volunteered to be interviewed. Of these, 28 were randomly chosen for follow-up interviews that probed experiences and rationales underlying items on the questionnaire. Interview transcripts (187 single-spaced pages) were analyzed for main themes. RESULTS: Questionnaire respondents and interviewees associated duty-hour restrictions with lowered faculty expectations and standards for residents, little change in the supervision of residents, a loss of time for teaching, increased work and stress, and less satisfaction. No significant differences in these perceptions (p ≤ .05) were found for faculty in academic and nonacademic programs. Main themes from the interviews included a shift of routine work from residents to faculty, a transfer of responsibility to faculty, more frequent skill gaps at night, a loss of time for research, and the challenges of controlling residents' hours. CONCLUSIONS: Duty-hour restrictions have been consequential for the work of surgical faculty. Faculty should not be overlooked in future studies of duty-hour restrictions.

AB - PURPOSE: To examine whether duty-hour restrictions have been consequential for various aspects of the work of surgical faculty and if those consequences differ for faculty in academic and nonacademic general surgery residency programs. METHOD: Questionnaires were distributed in 2004 to 233 faculty members in five academic and four nonacademic U.S. residency programs in general surgery. Participation was restricted to those who had been faculty for at least one year. Ten items on the questionnaire probed faculty work experiences. Results include means, percentages, and t-tests on mean differences. Of the 146 faculty members (63%) who completed the questionnaire, 101 volunteered to be interviewed. Of these, 28 were randomly chosen for follow-up interviews that probed experiences and rationales underlying items on the questionnaire. Interview transcripts (187 single-spaced pages) were analyzed for main themes. RESULTS: Questionnaire respondents and interviewees associated duty-hour restrictions with lowered faculty expectations and standards for residents, little change in the supervision of residents, a loss of time for teaching, increased work and stress, and less satisfaction. No significant differences in these perceptions (p ≤ .05) were found for faculty in academic and nonacademic programs. Main themes from the interviews included a shift of routine work from residents to faculty, a transfer of responsibility to faculty, more frequent skill gaps at night, a loss of time for research, and the challenges of controlling residents' hours. CONCLUSIONS: Duty-hour restrictions have been consequential for the work of surgical faculty. Faculty should not be overlooked in future studies of duty-hour restrictions.

UR - http://www.scopus.com/inward/record.url?scp=33644878423&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33644878423&partnerID=8YFLogxK

U2 - 10.1097/00001888-200601000-00014

DO - 10.1097/00001888-200601000-00014

M3 - Article

C2 - 16377820

AN - SCOPUS:33644878423

VL - 81

SP - 50

EP - 56

JO - Academic Medicine

JF - Academic Medicine

SN - 1040-2446

IS - 1

ER -