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Effect of the 80-Hour Workweek on Resident Burnout
Dmitri V. Gelfand, MD;
Yale D. Podnos, MD, MPH;
Joseph C. Carmichael, MD;
Darin J. Saltzman, PhD, MD;
Samuel E. Wilson, MD;
Russell A. Williams, MD
Arch Surg. 2004;139:933-940.
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 Measure 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) with introduction of the new schedule. Home call and formal educational activity time within working hours (eg, clinical conferences) significantly (P<.05) decreased from 11.5 and 4.8 hours to 4.6 and 2.5 hours per week, respectively. Operating room hours, clinic time, and duration of rounds did not show a significant change. Changes in parameters of resident and faculty emotional exhaustion, depersonalization, and personal accomplishment did not show statistical significance (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.
From the Department of Surgery, University of California, Irvine, Irvine Medical Center, Orange.
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