Purpose: In July 2003, resident duty hours regulations were implemented. The impact of these regulations on medical student education has received minimal attention. The objective of this study was to evaluate the perceptions of internal medicine clerkship directors about the impact of resident physician duty hours reform on medical student teaching, assessment, and clerkship structure.
Method: A survey was sent to 114 institutional members of Clerkship Directors in Internal Medicine in May 2004. The survey included 17 attitude items rated on a 5-point Likert scale, five items related to clerkship structure, and four open-ended questions. Descriptive statistics were performed on the responses.
Results: Ninety-six surveys were returned (84%). The majority of respondents did not believe duty hours reform had a positive impact on clerkship students' educational experiences, whereas 48.3% agreed or strongly agreed that residents had more difficulty evaluating students' clinical skills. There was not a significant change in inpatient clerkship structure after duty hours implementation. Time for teaching students, concerns about a shift-work mentality, and student continuity with their teams were major challenges. Impact on ambulatory internal medicine rotations was minimal.
Conclusions: Internal medicine clerkship directors are concerned about the impact of resident duty hours reform on student education. Additional studies of this educational impact are needed.
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http://dx.doi.org/10.1097/01.ACM.0000246873.04942.a8 | DOI Listing |
Int J Health Plann Manage
January 2025
Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
Introduction: Sub-Saharan Africa is facing a severe crisis in human resources for health. Primary healthcare is the most affected. This problem is aggravated by absenteeism, implying that healthcare workers are absent on duty during scheduled working hours.
View Article and Find Full Text PDFFront Public Health
December 2024
Asian Demographic Research Institute, School of Sociology and Political Sciences, Shanghai University, Shanghai, China.
Background: The rising prevalence of depression in China, coupled with a tightening job market, highlights concern for the workforce's mental health. Although socioeconomic inequalities in depression have been well documented in high-income countries, the association between socioeconomic status (SES) and depression, along with its work-related mediators, has not been sufficiently studied in China.
Methods: The study participants are 6,536 non-agriculturally employed working adults from the 2020 China Family Panel Studies (CFPS).
Cureus
November 2024
Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to Be University), Pune, IND.
Introduction Emotional intelligence (EI), which encompasses the ability to perceive, understand, and manage emotions, is crucial for effective human interaction. In healthcare, especially in medicine, compassion and empathy are prioritized qualities associated with enhanced patient outcomes, increased patient compliance, and overall improved healthcare experiences. This study focused on postgraduate medical students to assess their EI levels and identify influencing factors.
View Article and Find Full Text PDFJAMA Surg
December 2024
Department of Surgery, University of California, San Diego Health, La Jolla.
Importance: Since work-hour restrictions were instituted in 2003, sustainably complying with duty-hour regulations remains a challenge for general surgery residency programs across the nation.
Objective: To determine whether industry-based process improvement techniques could be leveraged to increase compliance with work-hour restrictions within a general surgery residency.
Design, Setting, And Participants: This quality improvement project using Lean methodology was conducted from October to November of the 2021 to 2022 academic year.
Ig Sanita Pubbl
December 2024
Administrative Professional Collaborator in the Statistical Sector, Azienda Sanitaria Territoriale, Fermo, Italy.
Introduction: One of today's main issues is balancing work and family life, which significantly impacts the socio-economic and working conditions of the population. Since the last century, support for parenthood has been at the center of legislative attention both in Italy and Europe. The Italian Constitution of 1948 began addressing the shift from the woman's exclusively domestic role, promoting female workforce integration from the 1950s.
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