title: The impact of the implementation of work hour requirements on residents' career satisfaction, attitudes and emotions.
abstract: BACKGROUND
  To assess the impact of work hours' limitations required by the Accreditation Council for Graduate Medical Education (ACGME) on residents' career satisfaction, emotions and attitudes.
  
  
  METHODS
  A validated survey instrument was used to assess residents' levels of career satisfaction, emotions and attitudes before and after the ACGME duty hour requirements were implemented. The "pre" implementation survey was distributed in December 2002 and the "post" implementation one in December 2004. Only the latter included work-hour related questions.
  
  
  RESULTS
  The response rates were 56% for the 2002 and 72% for the 2004 surveys respectively. Although career satisfaction remained unchanged, numerous changes occurred in both emotions and attitudes. Compared to those residents who did not violate work-hour requirements, those who did were significantly more negative in attitudes and emotions.
  
  
  CONCLUSIONS
  With the implementation of the ACGME work hour limitations, the training experience became more negative for those residents who violated the work hour limits and had a small positive impact on those who did not violate them. Graduate medical education leaders must innovate to make the experiences for selected residents improved and still maintain compliance with the work hour requirements.
authors.affiliation: Department of Public Health and Preventive Medicine, School of Medicine, Oregon Health & Science University, Portland, OR, USA. choid@ohsu.edu
authors.forename: Dongseok
authors.initials: D
authors.lastname: Choi
authors.forename: Jamie
authors.initials: J
authors.lastname: Dickey
authors.forename: Kristen
authors.initials: K
authors.lastname: Wessel
authors.forename: Donald E
authors.initials: DE
authors.lastname: Girard
mesh_terms: D000068:Accreditation / Q000592:standards*; D000328:Adult; D001291:Attitude of Health Personnel; D004503:Education, Medical, Graduate / Q000458:organization & administration / Q000592:standards*; D004644:Emotions; D005221:Fatigue; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration / Q000592:standards*; D007588:Job Satisfaction; D009922:Oregon; D015397:Program Evaluation; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D014940:Work Schedule Tolerance