Working hours of surgical residence: perspective of a group of surgeons in a regional hospital in Hong Kong.
BACKGROUND
The Accreditation Council for Graduate Medical Education and European working time directive have restricted residents' workweek to 80 and 48 hours, respectively. Impacts on resident's training and health services are under evaluation in western countries. However, relevant studies are deficient in Hong Kong.


METHODS
Surgeons in a regional hospital of Hong Kong were recruited. Opinions were collected by semi-structured questionnaire.


RESULTS
Response rate was 82%. Most respondents agreed that residents' work hours should be limited. Seventy-two percent thought that the addition of physician assistants, nurse practitioners and ancillary staff could help decrease the workload of residents. More than 60% thought that residents should have post-call afternoon off. Seventy-two percent worried that the number of operations residents performed would decrease. Only half agreed that long work hours was part of resident training and 56.3% agreed that the training period should be lengthened because of limiting work hours. Ninety-four percent agreed that sleep-deprived residents would create more medical errors; 72% thought that long work hours would impair quality of care. Surprisingly, only 28% thought that limiting work hours would compromise continued patient care.


CONCLUSIONS
Most respondents opine that resident work hours should be regulated and welcome minor rescheduling of residents' workflow. The impacts on residents' training and patient care require further evaluation.
Lo
Siu-Fai
SF
Department of Surgery, Kwong Wah Hospital, Kowloon, Hong Kong SAR, and Health Services Management Centre, University of Birmingham, UK. losf@ha.org.hk
Spurgeon
Peter
P
D000328:Adult; D001291:Attitude of Health Personnel; D003625:Data Collection; D005260:Female; D013502:General Surgery; D006723:Hong Kong; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008505:Medical Staff, Hospital; D016526:Workload