Otolaryngology resident perspective of proposed duty hour restrictions
Objectives In 2008, the Institute of Medicine (IOM) published a report detailing recommendations for modifying the existing standards for resident duty-hour restrictions. This study identifies the current opinion of otolaryngology residents regarding implementation of the IOM recommendations and how this may affect surgical training and patient care. Methods An online-survey was distributed to otolaryngology residents via email. Residents were asked about their familiarity with the IOM recommendations, how the new guidelines would affect their training, and whether any changes would have to be made to become compliant to possible new guidelines. Results A total of 150 otolaryngology residents nationwide completed the survey, representing 13.8% of the ENT physicians in training. Most residents were satisfied with their current level of training and felt that increased work hour restrictions would be a challenge to education (79%). Residents expressed concern about the level of care they could provide their patients. Fifty-six percent strongly agreed that they would not be able to provide the same level of call coverage for their patients given the new restrictions. Conclusion The majority of otolaryngology residents are not in favor of work hour restrictions. Most residents surveyed had reservations on the impact of the new restrictions on both education and patient care. Any application of new work hour guidelines should address the specific needs of individual specialties. Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Howell, R., Caggiula, A., Domanski, M., & Zapanta, P. (2010). Otolaryngology resident perspective of proposed duty hour restrictions. Laryngoscope, 120 (SUPPL. 3). http://dx.doi.org/10.1002/lary.21177