• Ryan M Antiel, Kyle J Van Arendonk, Darcy A Reed, Kyla P Terhune, John L Tarpley, John R Porterfield, Daniel E Hall, David L Joyce, Sean C Wightman, Karen D Horvath, Stephanie F Heller, and David R Farley.
• Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
• Arch Surg. 2012 Jun 1; 147 (6): 536-41.

ObjectiveTo describe the perspectives of surgical interns regarding the implications of the new Accreditation Council for Graduate Medical Education (ACGME) duty-hour regulations for their training.DesignWe compared responses of interns and surgery program directors on a survey about the proposed ACGME mandates.SettingEleven general surgery residency programs.ParticipantsTwo hundred fifteen interns who were administered the survey during the summer of 2011 and a previously surveyed national sample of 134 surgery program directors.Main Outcome MeasuresPerceptions of the implications of the new duty-hour restrictions on various aspects of surgical training, including the 6 ACGME core competencies of graduate medical education, measured using 3-point scales (increase, no change, or decrease).ResultsOf 215 eligible surgical interns, 179 (83.3%) completed the survey. Most interns believed that the new duty-hour regulations will decrease continuity with patients (80.3%), time spent operating (67.4%), and coordination of patient care (57.6%), while approximately half believed that the changes will decrease their acquisition of medical knowledge (48.0%), development of surgical skills (52.8%), and overall educational experience (51.1%). Most believed that the changes will improve or will not alter other aspects of training, and 61.5% believed that the new standards will decrease resident fatigue. Surgical interns were significantly less pessimistic than surgery program directors regarding the implications of the new duty-hour restrictions on all aspects of surgical training (P < .05 for all comparisons).ConclusionsAlthough less pessimistic than program directors, interns beginning their training under the new paradigm of duty-hour restrictions have significant concerns about the effect of these regulations on the quality of their training.

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