This month’s journal club was written by Andrew Rogers, MS4 looking at the advanced online publication of the article: National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training by Bilimoria KY, Chung JW, Hedges LV, et al with a follow up perspective that can be found here.
The ACGME duty hour regulations have been a hotly debated issue since their implementation. Originally employed over concerns for patient safety there has been little direct evidence on improvement in patient outcomes. However, recently there has been an increase in focus on resident job satisfaction and the prevention of burnout. While the FIRST Trial does not report a significant difference in patient outcomes, should we prioritize and establish a work/life balance for residency?