title: Is an urban legend true in the teaching hospital that "you will get hurt if you go to hospital at the beginning of the fiscal year"?
abstract: An urban legend that "you will get hurt if you go to hospital at the beginning of the fiscal year" is in circulation, because people in general suppose that inexperienced newcomers start to work at clinical practice during that time period. We tried to determine whether this urban legend was true or not by using data from our operation management system. We retrospectively conducted a study to investigate whether the number of cannulation failures, which was used as an index of patient disadvantages at clinical practice, could be affected by the volume of residents in clinical participation. The number of insertion trials per case was not prominent in the first month of the fiscal year. However, the number of insertion trials per case increased in proportion to the average number of residents per day. It seems that there was no evidence to support the urban legend that "you will get hurt if you go to hospital at the beginning of the fiscal year." However, our results suggest that rather than an urban legend, we are now confronting the fact that patients may suffer from medical disadvantages in the teaching hospitals.
authors: Division of Intensive Care, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan, seninoue@naramed-u.ac.jp.
authors: Satoki
authors: S
authors: Inoue
authors: Ryuichi
authors: R
authors: Abe
authors: Yu
authors: Y
authors: Tanaka
authors: Masahiko
authors: M
authors: Kawaguchi
mesh_terms: D000768:Anesthesia, General / Q000009:adverse effects; D002406:Catheterization, Peripheral / Q000009:adverse effects; D004469:Economics, Hospital / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency; D007564:Japan / Q000453:epidemiology; D017060:Patient Satisfaction; D012189:Retrospective Studies; D017211:Treatment Failure