Perspective of Surgical Resident Trainees on Accreditation Council for Graduate Medical Education Changes in Resident Work Environment and Duty Hours

JAMA Surgery ◽  
2017 ◽  
Vol 152 (10) ◽  
pp. 907 ◽  
Author(s):  
Nicolas J. Mouawad ◽  
Afif Kulaylat ◽  
Rebecca L. Hoffman
Keyword(s):  
Medical Education ◽  
Work Environment ◽  
Graduate Medical Education ◽  
Surgical Resident ◽  
Duty Hours ◽  
Accreditation Council ◽  
Graduate Medical ◽  
Resident Work

Resident Work Hour Restrictions Impact Chief Resident Operative Experience

2009 ◽  
Vol 75 (11) ◽  
pp. 1065-1068 ◽  
Author(s):  
A. Britton Christmas ◽  
Rita A. Brintzenhoff ◽  
Ronald F. Sing ◽  
Thomas M. Schmelzer ◽  
Sandra D. Bolton ◽  
...  
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Chief Resident ◽  
Teaching Assistant ◽  
Surgical Resident ◽  
Accreditation Council ◽  
Graduate Medical ◽  
Resident Work ◽  
Work Hour ◽  
Operative Experience

Since the institution of the Accreditation Council for Graduate Medical Education resident work restrictions, much discussion has arisen regarding the potential effect on surgical resident training. We undertook this study to examine the effects on resident operative experience. We retrospectively analyzed chief residents’ Accreditation Council for Graduate Medical Education case logs before (PRE) and after (POST) the 80-hour work restriction. Overall, 22 resident logs were evaluated, six PRE and 16 POST. Four case categories were examined: total major cases, total trauma operative cases, total chief cases, and total teaching assistant cases. Significance was defined as P < 0.05. Comparing the PRE and POST groups demonstrated a trend toward fewer total major cases (1061 vs 964, P = 0.38) and fewer total trauma operative cases (55 vs 47, P = 0.37). Teaching assistant cases increased from 67 to 91 but also failed to reach significance ( P = 0.37). However, further comparison between the PRE and POST groups yielded a statistically significant decrease in the number of total chief cases (494 vs 333, P = 0.0092). The significant decrease in the number of total chief cases demonstrates that the work hour restriction most affected the chief year operative experience. Further evaluation of resident participation in nonoperative facets may reveal additional deficiencies of surgical training under work hour restrictions.

scholarly journals Integrating Mental Practice into a COVID-19 Appropriate Virtual Reality Cataract Surgery Course for Ophthalmology Residents

2020 ◽  
Vol 12 (02) ◽  
pp. e298-e300
Author(s):  
John C. Lin ◽  
Alfred A. Paul ◽  
Ingrid U. Scott ◽  
Paul B. Greenberg
Keyword(s):  
Medical Education ◽  
Virtual Reality ◽  
Cataract Surgery ◽  
Disease Control ◽  
Graduate Medical Education ◽  
Core Competencies ◽  
Mental Practice ◽  
Accreditation Council ◽  
Graduate Medical ◽  
Control And Prevention

AbstractTo present a revised, publicly available virtual reality cataract surgery course for ophthalmology residents that integrates a novel mental practice program into the curriculum, fulfills the six core competencies of the Accreditation Council for Graduate Medical Education, and adheres to the Centers for Disease Control and Prevention educational recommendations for the coronavirus disease 2019 pandemic.

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