title: Effects of Accreditation Council for Graduate Medical Education work hour restrictions on medical student experience.
abstract: BACKGROUND
  Residents have a major role in teaching students, yet little has been written about the effects of resident work hour restrictions on medical student education.
  
  
  OBJECTIVE
  Our objective was to determine the effects of resident work hour restrictions on medical student education.
  
  
  METHODS
  We compared student responses pre work hour restrictions with those completed post work hour restrictions.
  
  
  METHODS
  Students on required Internal Medicine, Surgery, and Pediatric clerkships at the University of Minnesota.
  
  
  METHODS
  Two thousand eight hundred twenty-five student responses on end-of-clerkship surveys.
  
  
  RESULTS
  Students reported 1.6 more hours per week of teaching by residents (95%CI 0.8-2.6) in the post work hours era. Students' ratings of the overall quality of their teaching on the ward did not change appreciably, 0.05 points' decline on a 5-point scale (P = .05). Like the residents, students worked fewer hours per week (avg. 1.5 hours less, 95%CI 0.4-2.6). There was no change in quality or quantity of attending teaching, students' relationships with their patients, or the overall value of the clerkships.
  
  
  CONCLUSIONS
  Whereas resident duty hour restrictions at our institution have had minimal effect on students' ratings of the overall teaching quality, they do report being taught more by their residents. This may be a factor of decreased resident fatigue or an increased sense of well-being; but more study is needed to clarify the causes of our observations.
authors: Department of Pediatrics, University of Minnesota Medical School, 420 Delaware St SE, MMC 741, Minneapolis, MN 55455, USA. nixon007@umn.edu
authors: L James
authors: LJ
authors: Nixon
authors: Bradley J
authors: BJ
authors: Benson
authors: Tyson B
authors: TB
authors: Rogers
authors: Brian T
authors: BT
authors: Sick
authors: Wesley J
authors: WJ
authors: Miller
mesh_terms: D000068:Accreditation; D002982:Clinical Clerkship; D003625:Data Collection; D006784:Hospitals, Teaching / Q000592:standards; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D008910:Minnesota; D010561:Personnel Staffing and Scheduling / Q000592:standards*; D013337:Students, Medical; D014940:Work Schedule Tolerance; D016526:Workload / Q000592:standards*