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Steven T. Ruby, MD; Lisa Allen, PhD; L. Peter Fielding, MD; Peter J. Deckers, MD

Arch Surg. 1990;125(6):764-768.

Abstract
• Traditional work schedules of surgical residents have been cited as a factor that negatively influences residency education and the quality of patient care. As an adjunct to the formulation of recommendations for the development of the environment for general surgery training, the New England Association of Program Directors in Surgery set out to sample the attitudes of surgical residents in New England relative to their perceived need to reform work hours. Seventy-two percent of the residents thought there was a need for some level of resident work schedule change. The major variable that correlated with this opinion was the reported amount of sleep that a resident needed before returning to work after a 24-hour shift. The ultimate effect on education, patient care, and fiscal resources of these potentially sensitive changes remains to be determined.

(Arch Surg. 1990;125:764-768)

Author Affiliations
From the Surgical Research Center, Department of Surgery, University of Connecticut School of Medicine, Farmington (Drs Ruby, Allen, and Deckers), and the Department of Surgery, St Mary's Hospital, Waterbury, Conn (Dr Fielding).

Footnotes
Accepted for publication March 2, 1990.

Read before the 70th Annual Meeting of the New England Surgical Society, Bretton Woods, NH, September 24, 1989.

Reprint requests to Department of Surgery, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT 06032 (Dr Ruby).

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