Ambulatory Pediatrics
Volume 7, Issue 5 , Pages 348-353 , September 2007

Pediatric Residents’ and Continuity Clinic Preceptors’ Perceptions of the Effects of Restricted Work Hours on Their Learning Relationship

  • Dorene Balmer, RD, PhD

      Affiliations

    • Children’s Hospital of Philadelphia, Philadelphia, Pa
    • Corresponding Author InformationAddress correspondence to Dorene Balmer, RD, PhD, 3535 Market Street, Suite 1556, Philadelphia, PA 19104.
  • ,
  • Sheryl Ruzek, PhD, MPH

      Affiliations

    • College of Allied Health Professions, Department of Public Health, Temple University, Philadelphia, Pa
  • ,
  • Stephen Ludwig, MD

      Affiliations

    • Children’s Hospital of Philadelphia, Philadelphia, Pa
  • ,
  • Angelo Giardino, MD, PhD

      Affiliations

    • Baylor College of Medicine, Houston, Tex.

Received 15 November 2005 ,Accepted 16 May 2006.

References 

  1. Accreditation Council for Graduate Medical Education. Statement of justification/impact for final approval of common standards related to resident duty hours. Available at: http://www.acgme.org/acWebsite/dutyHours/dh_impactStatement.pdf. Accessed July 3, 2006.
  2. Fletcher KE, Davis SQ, Underwood W, et al. Systematic reviews: effects of residents’ work hours on patient safety. Ann Intern Med. 2004;141:851–857
  3. Samuels RC, Chi GW, Rauch DA, et al. Lessons from pediatrics residency program directors’ experiences with work hour limitation in New York State. Acad Med. 2005;80:467–472
  4. Fletcher K, Saint S, Mangrulkar R. Balancing continuity of care with residents’ limited work hours: defining the implications. Acad Med. 2005;80:39–43
  5. Steinbrook R. The debate over residents’ work hours. N Engl J Med. 2002;347:1296–1302
  6. Weinstein DF. Duty hours for resident physicians: tough choices for teaching hospitals. N Engl J Med. 2002;347:1275–1278
  7. Sectish TC, Carraccio C, Zalneraitis EL. Commentary on the ACGME Duty Hours Standard: improved duty hours with uncertain outcomes. Ambul Pediatr. 2003;3:164–165
  8. Hundert EM, Douglas-Steele D, Bickel J. Context in medical education: the informal ethics curriculum. Med Educ. 1996;30:353–364
  9. Hafferty F, Franks F. The hidden curriculum, ethics teaching and the structure of medical education. Acad Med. 1994;69:861–871
  10. Fox RC. The Sociology of Medicine: A Participant Observer’s View. Englewood Cliffs, NJ: Prentice-Hall; 1989;
  11. Bellah RN, Madsen R, Sullivan WM. Habits of the Heart: Individualism and Commitment in American Live. New York, NY: Harper & Row; 1985;
  12. Hatem CJ. Teaching approaches that reflect and promote professionalism. Acad Med. 2003;78:709–713
  13. Kenny NP, Mann KV, MacLeod H. Role modeling in physicians’ professional formation: reconsidering an essential but untapped educational strategy. Acad Med. 2003;78:1203–1210
  14. Residency Review Committee. Program requirements for residency education in pediatrics. Available at: http://www.acgme.org/acWebsite/RRC_320/320_prIndex.asp. Accessed February 27, 2006.
  15. Mathis BR, Diers T, Hornung R, et al. Implementing duty-hour restrictions without diminishing patient care or education: can it be done?. Acad Med. 2006;81:68–75
  16. Vidyarthi AR, Katz PP, Wall SD, et al. Impact of reduced hours on residents’ educational satisfaction at the University of California, San Francisco. Acad Med. 2006;81:76–81
  17. Lin GA, Beck DC, Garbutt JM. Residents’ perceptions of the effects of work hour limitations at a large teaching hospital. Acad Med. 2006;81:63–67
  18. Patton MQ. Qualitative Research and Evaluation Methods. In: 3rd ed.. Newbury Park, Calif: Sage Publications; 2002;
  19. Lincoln YS, Guba EG. Naturalistic Inquiry. Newbury Park, Calif: Sage Publications; 1985;
  20. Attride-Sterling J. Thematic networks: an analytic tool for qualitative research. Qualitative Res. 2001;1:385–405
  21. Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, Calif: Sage Publications; 1990;
  22. Wolcott HF. Transforming Qualitative Data. Newbury Park, Calif: Sage Publications; 1994;
  23. Erickson F. Qualitative methods in research on teaching. In:  Whittrock MC editors. Handbook of Research on Teaching. 3rd ed.. Old Tappan, NJ: Macmillan; 1986;p. 119–161

PII: S1530-1567(06)00130-4

doi: 10.1016/j.ambp.2006.05.001

Ambulatory Pediatrics
Volume 7, Issue 5 , Pages 348-353 , September 2007