title: Duty hour recommendations and implications for meeting the ACGME core competencies: views of residency directors.
abstract: OBJECTIVE
  To describe the views of residency program directors regarding the effect of the 2010 duty hour recommendations on the 6 core competencies of graduate medical education.
  
  
  METHODS
  US residency program directors in internal medicine, pediatrics, and general surgery were e-mailed a survey from July 8 through July 20, 2010, after the 2010 Accreditation Council for Graduate Medical Education (ACGME) duty hour recommendations were published. Directors were asked to rate the implications of the new recommendations for the 6 ACGME core competencies as well as for continuity of inpatient care and resident fatigue.
  
  
  RESULTS
  Of 719 eligible program directors, 464 (65%) responded. Most program directors believe that the new ACGME recommendations will decrease residents' continuity with hospitalized patients (404/464 [87%]) and will not change (303/464 [65%]) or will increase (26/464 [6%]) resident fatigue. Additionally, most program directors (249-363/464 [53%-78%]) believe that the new duty hour restrictions will decrease residents' ability to develop competency in 5 of the 6 core areas. Surgery directors were more likely than internal medicine directors to believe that the ACGME recommendations will decrease residents' competency in patient care (odds ratio [OR], 3.9; 95% confidence interval [CI], 2.5-6.3), medical knowledge (OR, 1.9; 95% CI, 1.2-3.2), practice-based learning and improvement (OR, 2.7; 95% CI, 1.7-4.4), interpersonal and communication skills (OR, 1.9; 95% CI, 1.2-3.0), and professionalism (OR, 2.5; 95% CI, 1.5-4.0).
  
  
  CONCLUSIONS
  Residency program directors' reactions to ACGME duty hour recommendations demonstrate a marked degree of concern about educating a competent generation of future physicians in the face of increasing duty hour standards and regulation.
authors.affiliation: Mayo Medical School, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Antiel
authors.forename: Scott M
authors.initials: SM
authors.lastname: Thompson
authors.forename: Frederic W
authors.initials: FW
authors.lastname: Hafferty
authors.forename: Katherine M
authors.initials: KM
authors.lastname: James
authors.forename: Jon C
authors.initials: JC
authors.lastname: Tilburt
authors.forename: Michael P
authors.initials: MP
authors.lastname: Bannon
authors.forename: Philip R
authors.initials: PR
authors.lastname: Fischer
authors.forename: David R
authors.initials: DR
authors.lastname: Farley
authors.forename: Darcy A
authors.initials: DA
authors.lastname: Reed
mesh_terms: D000068:Accreditation / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D005260:Female; D013502:General Surgery / Q000193:education; D006801:Humans; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000193:education; D008486:Physician Executives / Q000523:psychology*; D014481:United States; D014940:Work Schedule Tolerance / Q000523:psychology; D016526:Workload / Q000331:legislation & jurisprudence* / Q000523:psychology