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Attending Work Hour Restrictions

Attending Work Hour Restrictions COMMENTARY Is It Time? HE PERSONAL RELA- effect. Residents appear to know pa- must be accomplished in the set- tionship between phy- tients less well. Concerns exist about ting of an increasingly cynical and sician and patient has coverage, quality of patient care, and demanding public, a hostile mal- long been the corner- resident sense of responsibility and practice environment, and shrink- stone of medical prac- preparedness. Is this really a model ing reimbursement. In a study from tice. The bond that is created be- we should follow? Further, these re- Washington University, general tween a patient and his or her surgeon strictions have had a significant effect surgeons worked a mean (SD) of is often forged in times of crisis (eg, on surgical faculty. Coverdill et al 73.8 (14.1) hours per week. Only cancer or catastrophic illness), lead- reported lower expectations of resi- 44% have at least 1 day per week that ing to a particularly powerful and spe- dents, less time for teaching, more is free of clinical duties. Up to 95% cial covenant. Because problems such work, more stress, and decreased sat- of these surgeons are paged over- as the development of a tumor, hem- isfaction http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Attending Work Hour Restrictions

JAMA Surgery , Volume 144 (1) – Jan 1, 2009

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Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.2008.518
pmid
19153317
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY Is It Time? HE PERSONAL RELA- effect. Residents appear to know pa- must be accomplished in the set- tionship between phy- tients less well. Concerns exist about ting of an increasingly cynical and sician and patient has coverage, quality of patient care, and demanding public, a hostile mal- long been the corner- resident sense of responsibility and practice environment, and shrink- stone of medical prac- preparedness. Is this really a model ing reimbursement. In a study from tice. The bond that is created be- we should follow? Further, these re- Washington University, general tween a patient and his or her surgeon strictions have had a significant effect surgeons worked a mean (SD) of is often forged in times of crisis (eg, on surgical faculty. Coverdill et al 73.8 (14.1) hours per week. Only cancer or catastrophic illness), lead- reported lower expectations of resi- 44% have at least 1 day per week that ing to a particularly powerful and spe- dents, less time for teaching, more is free of clinical duties. Up to 95% cial covenant. Because problems such work, more stress, and decreased sat- of these surgeons are paged over- as the development of a tumor, hem- isfaction

Journal

JAMA SurgeryAmerican Medical Association

Published: Jan 1, 2009

References