Blog | Thursday, April 4, 2013

Do shorter work hours have an impact on internal medicine training?


Consider this table for the Certification Examination in Internal Medicine: 2008-2012 First-Time Taker Pass Rates:
Year, 2008; first takers, 7194; pass rate, 91%
Year, 2009; first takers, 7226; pass rate, 88%
Year, 2010; first takers, 7335; pass rate, 87%
Year, 2011; first takers, 7337; pass rate, 84%
Year, 2012, first takers; 7303; pass rate, 85%

Hmm.

We have decreased work hours. We have decreased continuity and ownership. We have increased hand offs.

We have more "non-educational" rotations like night float. We have worse attendance at conferences.

Our residents do not sleep any more (according to surveys).

Things sure are better!

db is the nickname for Robert M. Centor, MD, FACP. db stands both for Dr. Bob and da boss. He is an academic general internist at the University of Alabama School of Medicine, and is the Associate Dean for the Huntsville Regional Medical Campus of UASOM. He also serves as a frequent ward attending at the Birmingham VA Hospital. This post originally appeared at his blog, db's Medical Rants.