Orthopedic Residency: Are Duty Hours Predictive of Performance?

Journal of Surgical Education
Kyle C BohmAnn E Van Heest

Abstract

This study examines the relationship between self-recorded resident work hours and Orthopedic In-training Examination (OITE) scores, resident clinical performance, and American Board of Orthopedic Surgery pass rates. The hypothesis of this study is that increasing duty hours would have a positive correlation with clinical and OITE performance. Total duty hours and recorded operating room hours from a single orthopedic residency program were extracted from 2006 to 2012. During the same time span, OITE scores, resident clinical scores from the E-Valuation system, and American Board of Orthopedic Surgery pass rates were collected. The correlation between the variables was assessed using the Pearson correlation coefficient's precision statistic. A large public tertiary academic center in the upper Midwestern United States. A total of 82 orthopedic surgery residents over 7 years. A total of 82 residents were matriculated between 2006 and 2012. The average weekly recorded duty hours were as follows: postgraduate year 2 (PGY2) = 60 hours/week (Standard Deviation (SD) ± 4), PGY3 = 59 hours/week (SD ± 5), PGY4 = 51 hours/week (SD ± 4), PGY5 = 49 hours/week (SD ± 3). There was significant variability in the average number of hours worked...Continue Reading

References

Mar 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Sharat K KusumaGary E Friedlaender
Sep 6, 2007·JAMA : the Journal of the American Medical Association·Kevin G VolppJeffrey H Silber
Apr 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Michael A BaskiesKenneth A Egol
Sep 3, 2009·The Journal of Bone and Joint Surgery. American Volume·James A BrowneMichael P Bolognesi
Dec 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Ann Van HeestConstance Schmitz
Jun 25, 2010·The New England Journal of Medicine·Thomas J NascaUNKNOWN ACGME Duty Hour Task Force
Dec 16, 2010·Journal of Surgical Education·Gladys L FernandezNeal E Seymour
Jan 21, 2011·The Journal of Bone and Joint Surgery. American Volume·Keith BaldwinSamir Mehta
Apr 8, 2011·The Journal of Bone and Joint Surgery. American Volume·Atul F KamathSamir Mehta

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Citations

Sep 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Paul J DoughertyPatrick M Osborn
Aug 29, 2019·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Tyler J LoftusJacqueline A Hobbs
Dec 16, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Jared J HillMatthew D Karam

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