JAMA : the journal of the American Medical Association
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Observational Study
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance.
In 2011, the Accreditation Council for Graduate Medical Education (ACGME) restricted resident duty hour requirements beyond those established in 2003, leading to concerns about the effects on patient care and resident training. ⋯ Implementation of the 2011 ACGME duty hour reform was not associated with a change in general surgery patient outcomes or differences in resident examination performance. The implications of these findings should be considered when evaluating the merit of the 2011 ACGME duty hour reform and revising related policies in the future.
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Comparative Study
Emergency department resource use by supervised residents vs attending physicians alone.
Few studies have evaluated the common assumption that graduate medical education is associated with increased resource use. ⋯ In a sample of US EDs, supervised visits were associated with a greater likelihood of hospital admission and use of advanced imaging and with longer ED stays. Whether these associations are different in EDs in which more than half of visits are seen by residents requires further investigation.