Resident Work Hours

What They Are Really Doing

Karen Brasel, Amy L. Pierre, John A. Weigelt, Leigh Anne Neumayer, Jerry M. Shuck, Thomas R. Russell, William P. Schecter, Lawrence A. Danto, Thomas A. Stellato, Vijay K. Mittal, Norman C. Estes

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Hypothesis: We attempted to better quantitate resident work within our system of care. Design: Survey. Setting: Academic training program. Participants: Surgical residents. Interventions: A work-hour survey was developed defining 5 areas of activity: patient care related to educational objectives, required educational activities, patient care activities unrelated to educational objectives, off-duty educational activity, and off-duty hours. Main Outcome Measures: Total work hours and noneducational work hours were analyzed by resident level, rotation, and category. Results: The survey response rate was 52%, covering 110 workweeks. Residents worked 80 hours or less for 57 weeks and more than 80 hours for 53 weeks. The mean number of hours worked was 77. Fewer than one quarter (21.9%) of work hours were unrelated to educational activities. The amount of time spent in noneducational activities was lowest at community hospitals (17%) and similar at the Veterans Affairs (23%) and academic (22%) medical centers. It did not vary by total hours worked, averaging 21% for rotations of more than 80 h/wk and 23% for rotations of 80 h/wk or less. Conclusions: Residents spend a large amount of time in noneducational activities. Eliminating these activities would bring our rotations into compliance with the 80-hour workweek. It would also generate a large amount of time for educational activities within our training program.

Original languageEnglish (US)
Pages (from-to)490-494
Number of pages5
JournalArchives of Surgery
Volume139
Issue number5
DOIs
StatePublished - May 2004
Externally publishedYes

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Education
Patient Care
Community Hospital
Veterans
Teaching
Outcome Assessment (Health Care)
Surveys and Questionnaires

ASJC Scopus subject areas

  • Surgery

Cite this

Brasel, K., Pierre, A. L., Weigelt, J. A., Neumayer, L. A., Shuck, J. M., Russell, T. R., ... Estes, N. C. (2004). Resident Work Hours: What They Are Really Doing. Archives of Surgery, 139(5), 490-494. https://doi.org/10.1001/archsurg.139.5.490

Resident Work Hours : What They Are Really Doing. / Brasel, Karen; Pierre, Amy L.; Weigelt, John A.; Neumayer, Leigh Anne; Shuck, Jerry M.; Russell, Thomas R.; Schecter, William P.; Danto, Lawrence A.; Stellato, Thomas A.; Mittal, Vijay K.; Estes, Norman C.

In: Archives of Surgery, Vol. 139, No. 5, 05.2004, p. 490-494.

Research output: Contribution to journalArticle

Brasel, K, Pierre, AL, Weigelt, JA, Neumayer, LA, Shuck, JM, Russell, TR, Schecter, WP, Danto, LA, Stellato, TA, Mittal, VK & Estes, NC 2004, 'Resident Work Hours: What They Are Really Doing', Archives of Surgery, vol. 139, no. 5, pp. 490-494. https://doi.org/10.1001/archsurg.139.5.490
Brasel K, Pierre AL, Weigelt JA, Neumayer LA, Shuck JM, Russell TR et al. Resident Work Hours: What They Are Really Doing. Archives of Surgery. 2004 May;139(5):490-494. https://doi.org/10.1001/archsurg.139.5.490
Brasel, Karen ; Pierre, Amy L. ; Weigelt, John A. ; Neumayer, Leigh Anne ; Shuck, Jerry M. ; Russell, Thomas R. ; Schecter, William P. ; Danto, Lawrence A. ; Stellato, Thomas A. ; Mittal, Vijay K. ; Estes, Norman C. / Resident Work Hours : What They Are Really Doing. In: Archives of Surgery. 2004 ; Vol. 139, No. 5. pp. 490-494.
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