Do Fewer Work Hours = Less Learning? Kinda.

In this retrospective study, investigators at a Canadian teaching hospitals examined medical-surgical ICU patient and procedure volumes from 2001 to 2010 and matched them to resident on-call schedules to identify maximum experiential learning opportunities. Over the 9 year period, they found a decrease in the number of calls per resident, a 32% reduction in resident opportunity to admit patients and 34% reduction in resident opportunity to perform procedures. The study did not measure residents’ clinical competence or directly track actual number of patients residents admitted, but less work hours seems to have led to less opportunities for learning. — Sarang Kim, MD

Peets, AD. Changes in residents’ opportunities for experiential learning over time. Medical Education 2012; 46:1189-1193

Link to Article

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