title: Effect of 2011 Accreditation Council for Graduate Medical Education Duty-Hour Regulations on Objective Measures of Surgical Training.
abstract: OBJECTIVE
  In July 2011, new Accreditation Council for Graduate Medical Education duty-hour regulations were implemented in surgical residency programs. We examined whether differences in objective measures of surgical training exist at our institution since implementation.
  
  
  METHODS
  Retrospective reviews of the American Board of Surgery In-Training Examination performance and surgical case volume were collected for 5 academic years. Data were separated into 2 groups, Period 1: July 2008 through June 2011 and Period 2: July 2011 through June 2013.
  
  
  METHODS
  Single-institution study conducted at the Mount Sinai Hospital, New York, NY, a tertiary-care academic center.
  
  
  METHODS
  All general surgery residents, levels postgraduate year 1 through 5, from July 2008 through June 2013.
  
  
  RESULTS
  No significant differences in the American Board of Surgery In-Training Examination total correct score or overall test percentile were noted between periods for any levels. Intern case volume increased significantly in Period 2 (90 vs 77, p = 0.036). For chief residents graduating in Period 2, there was a significant increase in total major cases (1062 vs 945, p = 0.002) and total chief cases (305 vs 267, p = 0.02).
  
  
  CONCLUSIONS
  The duty-hour regulations did not negatively affect objective measures of surgical training in our program. Compliance with the Accreditation Council for Graduate Medical Education duty-hour regulations correlated with an increase in case volume. Adaptations made by our institution, such as maximizing daytime duty hours and increasing physician extenders, likely contributed to our findings.
authors.affiliation: Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Audree B
authors.initials: AB
authors.lastname: Condren
authors.affiliation: Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: celia.divino@mountsinai.org.
authors.forename: Celia M
authors.initials: CM
authors.lastname: Divino
mesh_terms: D000068:Accreditation; D004503:Education, Medical, Graduate / Q000592:standards*; D004521:Educational Measurement; D013502:General Surgery / Q000193:education*; D007396:Internship and Residency; D012189:Retrospective Studies; D014481:United States
keywords: Medical Knowledge; Patient Care; Practice-Based Learning and Improvement; duty-hour restrictions; general surgery/education; internship and residency; patient care; practice-based learning and improvement; surgical training