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International Orthopaedics

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01-05-2016 | Review Article

Work-hour restrictions and orthopaedic resident education: a systematic review

Authors: Nathan S. Mauser, James D. Michelson, Hannah Gissel, Corey Henderson, Cyril Mauffrey

Published in: International Orthopaedics | Issue 5/2016

Abstract

Purpose

The ACGME (US) and The European Working Time Directive (UK) placed work-hour restrictions on medical trainees with the goal of improved patient safety. However, there has been concern over a potential decrease in medical education. Orthopaedic training is the focus of this study. We examined previously published subjective and objective data regarding education and work-hour restrictions and developed the questions: Do specific perceptions emerge within the subjective studies examined? Are there objective differences in educational measures before and after work-hour restrictions? Is there a difference between the subjective and objective data?

Methods

A systematic review was conducted via MedLine, regarding orthopaedic studies in the USA and UK, with reference to work-hour restrictions and education.

Results

Subjective survey studies demonstrate that residents and attending physicians have a negative response to work-hour restrictions because of the perceived impact on their overall education and operating room experience. Conversely, limited objective studies demonstrated no change in operative volume before or after implementation of restrictions.

Conclusions

This review highlights the need for more objective studies on the educational implications of work-hour restrictions. Studies to date have not demonstrated a measurable difference based on case logs or training scores. Opinion-based surveys demonstrate an overall negative perception by both residents and attending physicians, on the impact of work-hour restrictions on orthopaedic education. Current published data is limited and stronger evidence-based data are needed before definitive conclusions can be reached.

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Title: Work-hour restrictions and orthopaedic resident education: a systematic review
Authors: Nathan S. Mauser
James D. Michelson
Hannah Gissel
Corey Henderson
Cyril Mauffrey
Publication date: 01-05-2016
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 5/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-3045-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Work-hour restrictions and orthopaedic resident education: a systematic review

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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