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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Internal medicine residents' perspectives on effects of 2011 ACGME work hour regulations on patient care.
    Author: Hoskote SS, Nadkarni GN, Annapureddy N, Shetty AA, Fried ED.
    Journal: Teach Learn Med; 2014; 26(3):274-8. PubMed ID: 25010239.
    Abstract:
    BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) introduced new work hour limitations in July 2011. PURPOSES: The aim is to assess internal medicine residents' perspectives on the impact of these limitations on their ability to discharge patient care duties. METHODS: An anonymous survey was administered to 158 medicine residents in an urban university-affiliated internal medicine residency program. Residents' perspectives on various aspects of patient care were recorded on a 5-point Likert-type scale. RESULTS: The response rate was 62%. The majority of residents (80%) agreed that patients had adequate continuity of care. Most residents agreed that they had enough time to follow up on consult notes (64% agreed) and investigations (80% agreed) daily. Most PGY-1 residents (59%) reported having enough time to prepare sign-outs. Most (60%) residents felt that reducing handoffs would improve patient care. CONCLUSIONS: Most residents believe that the new work hour limitations would continue to uphold patient safety, but handoffs in care must be restricted.
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