Has Resident Duty Hour Regulation Adversely Affected Medical Student Education? Depends Who You Ask

dutyhoursRed In the midst of much controversy about resident duty hour regulations, another study adds to the uncertainty about its impact on medical student education. In this study, investigators surveyed medical students and clerkship directors about the quality of teaching, evaluation, and patient care during internal medicine clerkship or sub internship before and after duty hour regulations. Response rates were 48% to 64% for students and 82% for clerkship directors. Although students perceived few adverse effects of the 2011 duty hour regulations on their education, clerkship directors generally had negative perceptions. While it may be somewhat reassuring that students’  perceptions were not worse, the discrepancy between students’ and clerkship directors’ perceptions is interesting, and lends support to the notion that perceptions may not be useful in trying to measure the impact of duty hour regulations.  — Sarang Kim, MD

R Kogan J, Lapin J, Aagaard E, Boscardin C, Aiyer MK, Cayea D, Cifu A, Diemer G, Durning S, Elnicki M, Fazio SB, Khan AR, Lang VJ, Mintz M, Nixon LJ, Paauw D, Torre DM, Hauer KE. The effect of resident duty-hours restrictions on internal medicine clerkship experiences: surveys of medical students and clerkship directors.Teach Learn Med. 2015;27(1):37-50.

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