Effects of resident work hour limitations on faculty professional lives.
BACKGROUND
The Accreditation Council for Graduate Medical Education resident work hour limitations were implemented in July, 2003. Effects on faculty are not well understood.


OBJECTIVE
The objective of this study was to determine the effects of the resident work hour limitations on the professional lives of faculty physicians.


METHODS
Survey of faculty physicians at three teaching hospitals associated with university-based internal medicine and surgery residency programs in Seattle, Washington. Physicians who attended on Internal Medicine and Surgery in-patient services during the 10 mo after implementation of work hour limitations were eligible for participation (N = 366); 282 physicians (77%) returned surveys.


METHODS
Participants were asked about the effects of resident work hour limitations on aspects of their professional lives, including clinical work, research, teaching, and professional satisfaction.


RESULTS
Most attending physicians reported that, because of work hour limitations, they spent more time on clinical work (52%), felt more responsibility for supervising patient care (65%), and spent less time on research or other academic pursuits (51%) and teaching residents (72%). Reported changes in work content were independently associated with the self-reported probability of leaving academic medicine in the next 3 y.


CONCLUSIONS
Resident work hour limitations have had large effects on the professional lives of faculty. These findings may have important implications for recruiting and retaining faculty at academic medical centers.
Goitein
Lara
L
Department of Radiology, University of Washington Medical Center, Seattle, WA, USA. lgoitein@gmail.com
Shanafelt
Tait D
TD
Nathens
Avery B
AB
Curtis
J Randall
JR
D000328:Adult; D000368:Aged; D003625:Data Collection; D005180:Faculty, Medical; D005260:Female; D006801:Humans; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D013043:Specialties, Surgical / Q000193:education; D014940:Work Schedule Tolerance