Resident duty hour regulation and patient safety: Establishing a balance between concerns about resident fatigue and adequate training in neurosurgery - Special topic

M. Sean Grady, H. Hunt Batjer, Ralph G. Dacey

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Postgraduate training in medicine has been under scrutiny over the past 10 years with a major focus on physician personal health and patient safety. The culmination of a series of events led to the 80-hour work week instituted by the Accreditation Council on Graduate Medical Education in 2003. The effect this mandate has had on surgical education, and specifically training in neurological surgery, has been incompletely evaluated. Nevertheless, external pressure has prompted the Institute of Medicine to issue a new report on resident work hours and patient safety. In this report, the authors focus on the unique aspects of neurosurgical training in which physicians are trained to safely and effectively carry out complex high-risk tasks, the experience from abroad where work hours are reduced to well below 80 hours/week, and the risk that further reduction in work hours poses to the public. The authors conclude that there must be an adequate balance between the risks associated with resident fatigue and those associated with an inexperienced neurosurgical work force for public health.

Original languageEnglish (US)
Pages (from-to)828-836
Number of pages9
JournalJournal of neurosurgery
Volume110
Issue number5
DOIs
StatePublished - May 1 2009

Keywords

  • Duty hours
  • Resident training
  • Resident work week regulation

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Resident duty hour regulation and patient safety: Establishing a balance between concerns about resident fatigue and adequate training in neurosurgery - Special topic'. Together they form a unique fingerprint.

  • Cite this