Educational impact of pre- and post-2011 ACGME work-hour guidelines
| First Author, Year Published | Location of Study and Specialty | Participants | Educational Impact |
|---|---|---|---|
| Schumacher DJ, 2014 | US (National Survey) Pediatric Residents | 634, all subjects worked both pre and post 2011 guidelines | 9% reported improvement; 60% no change; 31% worse education impact after 2011 guidelines |
| Nevin CR, 2014 | U Alabama, Internal Medicine Residents Focus Groups | 34 residents who worked during both pre and post 2011 guidelines | 75% PGY-1% and 94% senior residents expressed negative impact on education of interns |
| Lindeman BM, 2013 | Johns Hopkins, Survery of Surgical Residents | 30 residents pre 2011 guidelines and 36 residents post 2011 guidelines | Satisfaction with quality of operative experience 27 (90%) of 30 satisfied in 2011 vs 28 (78%) out of 36 in 2012; p=0.03 |
| Wolf SJ, 2018 | US National Survey of Educators, Emergency Medicine | 157 Program Leaders | Average satisfaction rating of 2.58 out of 5. Majority of educators reported negative impact |
| DeLaroche A, 2013 | US (National Survey) Neonatology Interns | 316 participants followed pre 2011 guidelines; 509 participants followed post 2011 | Lecture attendance (83.9% vs. 70.5%) comparing 2011 group to 2012; p |
| Garg M, 2014 | US (National Survey), Internal Medicine Directors | 237 Internal Medicine Program Directors | 60% believe education is worse after 2011 changes. 30% believe it is unchanged and 10% has improved. |
| Vucicevic D, 2014 | Mayo Clinic Arizona, Inernal Medicine Residents | Internal Medicine Residents | In-training exam (ITE) scores no statistical difference. Number of patients seen decreased by 16.36% (p<0.001) after 2011 guidelines. |
| Auger KA, 2014 | Cincinnati Children’s, Pediatric Residents | 23 Residents followed post 2011 and 26 followed pre-2011 guidelines | Discussion of patients during morning rounds 87% for pre-2011 guidelines vs. 46% for post-2011 guidelines (p<0.05) |
| Desai SV, 2018 | US (National Survey), Internal Medicine Residents and Faculty | 32 Program pre-2011 and 31 Programs post-2011 | Average scores on in-training exams were not different. Interns satisfaction with education was not different in the 2 groups but the faculty were more satisfied with the educational experience during the pre-2011 guidelines |
| Bilimoria KY, 2016 | US (National Survey), Surgery Residents | 2110 in pre-2011 group and 2220 in post-2011 group | Dissatisfaction with overall quality of resident education was not different but pre-2011 residents were significantly less likely to leave during an operation (7.0% vs. 13.2%, p<0.001) |
| Saadat LV, 2016 | US (National Survey), General Surgery Directors | 59 Directors of the Standard (post-2011) and 58 Directors of Flexible (pre-2011) | Attending educational activities: 74.1% pre-2011 vs 3.4% post-2011; p<0.001. |