title: Changes to pediatric clerkships' nighttime structure after introduction of the 2011 ACGME resident duty hour standards.
abstract: OBJECTIVE
  To report changes in pediatric clerkship nighttime clinical structures before and after implementation of the 2011 Accreditation Council for Graduate Medical Education (ACGME) resident duty hour standards.
  
  
  METHODS
  As part of the 2011 Council on Medical Student Education in Pediatrics (COMSEP) member annual survey, we surveyed leaders of pediatric undergraduate medical education on their medical school's current nighttime clinical structure, changes in nighttime structure between 2010 and 2011, and their school's student duty hour standards.
  
  
  RESULTS
  Fifty-six percent (n = 83) of Liaison Committee for Medical Education (LCME)-accredited medical schools responded to the survey. Of received responses, 98% of pediatric clerkships have some form of nighttime clinical experience; 49% of clerkships have medical students stay late, 24% of clerkships utilize night shifts, and 16% use a traditional call structure. Forty-five percent of clerkships report changing their nighttime clinical experience after implementation of the 2011 ACGME duty hour standards; 46% of clerkships that changed had previously used traditional call. Seventy-six percent of clerkships report having medical student duty hour standards at their medical school.
  
  
  CONCLUSIONS
  The majority of pediatric clerkships in our survey include nighttime clinical experiences in their curriculum, although variability exists in the type of structure. Additionally, the new ACGME duty hour standards appear to affect clerkships directors' choice of structure.
authors.affiliation: Department of Pediatrics, University of Utah, Salt Lake City, Utah. Electronic address: andrew.gerald.smith@hsc.utah.edu.
authors.forename: Andrew
authors.initials: A
authors.lastname: Smith
authors.affiliation: Department of Pediatrics, University of Utah, Salt Lake City, Utah.
authors.forename: Adam
authors.initials: A
authors.lastname: Stevenson
mesh_terms: D000068:Accreditation / Q000458:organization & administration / Q000592:standards; D002982:Clinical Clerkship / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D004503:Education, Medical, Graduate / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration / Q000592:standards; D010372:Pediatrics / Q000193:education / Q000458:organization & administration* / Q000592:standards; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration* / Q000592:standards; D012577:Schools, Medical / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D013997:Time Factors; D014481:United States; D014940:Work Schedule Tolerance; D016526:Workload / Q000592:standards
keywords: duty hour standards; medical student call; pediatric education; undergraduate medical education