Effect of the 80-hour workweek on resident Burnout

Dmitri V. Gelfand, Yale D. Podnos, Joseph C. Carmichael, Darin J. Saltzman, Samuel E. Wilson, Russell A. Williams, Karen Deveney, Theodore X. O'Connell, Frederic W. Grannis, Matthew Slater, John Vetto, Lawrence W. Way, Myriam Curet, Thomas R. Russell, Roger E. Alberty

Research output: Contribution to journalArticle

129 Citations (Scopus)

Abstract

Hypothesis: With the introduction of the newly mandated restrictions on resident work hours, we expected improvement in subjective feelings of personal accomplishment and lessened emotional exhaustion and depersonalization. Design: Residents and faculty members completed an anonymous online Maslach Burnout Inventory Human Services Survey (3rd ed; Consulting Psychologist Press Inc, Palo Alto, Calif) and work-hour registry before and after implementation of new restrictions. Setting: Urban, university-based department of surgery. Participants: All house staff (n=37) and faculty (n=27). Intervention: Introduction of new Institutional Standards for Resident Duty Hours 2003. Main Outcome Measures: Resident work hours and levels of emotional exhaustion, perceived degree of depersonalization, and personal accomplishment. Results: Resident work hours per week decreased from 100.7 to 82.6 (P.05). Conclusions: Despite successful reductions in resident work hours, measures of burnout were not significantly affected. However, important clinical activities such as time spent in the operating room, clinic, and making rounds were maintained. Formal in-hospital education time was reduced.

Original languageEnglish (US)
Pages (from-to)933-940
Number of pages8
JournalArchives of Surgery
Volume139
Issue number9
DOIs
StatePublished - Sep 2004
Externally publishedYes

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Depersonalization
Operating Rooms
Internship and Residency
Registries
Emotions
Outcome Assessment (Health Care)
Psychology
Education
Equipment and Supplies
Surveys and Questionnaires

ASJC Scopus subject areas

  • Surgery

Cite this

Gelfand, D. V., Podnos, Y. D., Carmichael, J. C., Saltzman, D. J., Wilson, S. E., Williams, R. A., ... Alberty, R. E. (2004). Effect of the 80-hour workweek on resident Burnout. Archives of Surgery, 139(9), 933-940. https://doi.org/10.1001/archsurg.139.9.933

Effect of the 80-hour workweek on resident Burnout. / Gelfand, Dmitri V.; Podnos, Yale D.; Carmichael, Joseph C.; Saltzman, Darin J.; Wilson, Samuel E.; Williams, Russell A.; Deveney, Karen; O'Connell, Theodore X.; Grannis, Frederic W.; Slater, Matthew; Vetto, John; Way, Lawrence W.; Curet, Myriam; Russell, Thomas R.; Alberty, Roger E.

In: Archives of Surgery, Vol. 139, No. 9, 09.2004, p. 933-940.

Research output: Contribution to journalArticle

Gelfand, DV, Podnos, YD, Carmichael, JC, Saltzman, DJ, Wilson, SE, Williams, RA, Deveney, K, O'Connell, TX, Grannis, FW, Slater, M, Vetto, J, Way, LW, Curet, M, Russell, TR & Alberty, RE 2004, 'Effect of the 80-hour workweek on resident Burnout', Archives of Surgery, vol. 139, no. 9, pp. 933-940. https://doi.org/10.1001/archsurg.139.9.933
Gelfand DV, Podnos YD, Carmichael JC, Saltzman DJ, Wilson SE, Williams RA et al. Effect of the 80-hour workweek on resident Burnout. Archives of Surgery. 2004 Sep;139(9):933-940. https://doi.org/10.1001/archsurg.139.9.933
Gelfand, Dmitri V. ; Podnos, Yale D. ; Carmichael, Joseph C. ; Saltzman, Darin J. ; Wilson, Samuel E. ; Williams, Russell A. ; Deveney, Karen ; O'Connell, Theodore X. ; Grannis, Frederic W. ; Slater, Matthew ; Vetto, John ; Way, Lawrence W. ; Curet, Myriam ; Russell, Thomas R. ; Alberty, Roger E. / Effect of the 80-hour workweek on resident Burnout. In: Archives of Surgery. 2004 ; Vol. 139, No. 9. pp. 933-940.
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