Faculty Collaboration Database

Professional values, value conflicts, and assessments of the duty-hour restrictions after six years: a multi-institutional study of surgical faculty and residents. Am J Surg 2011 Jan;201(1):16-23

Date

12/21/2010

Pubmed ID

21167361

DOI

10.1016/j.amjsurg.2010.06.015

Scopus ID

2-s2.0-78650396088 (requires institutional sign-in at Scopus site)   19 Citations

Abstract

BACKGROUND: the aim of this study was to explore professional values, value conflicts, and assessments of the Accreditation Council for Graduate Medical Education's duty-hour restrictions.

METHODS: questionnaires distributed at 15 general surgery programs yielded a response rate of 82% (286 faculty members and 306 residents). Eighteen items were examined via mean differences, percentages in agreement, and significance tests. Follow-up interviews with 110 participants were explored for main themes.

RESULTS: residents and faculty members differed slightly with respect to core values but substantially as to whether the restrictions conflict with core values or compromise care. The average resident-faculty member gap for those 13 items was 35 percentage points. Interview evidence indicates consensus over professional values, a gulf between individualistic and team orientations, frequent moral dilemmas, and concerns about the assumption of responsibility by residents and "real-world" training.

CONCLUSIONS: the divide between residents and faculty members over conflicts between the restrictions, core values, and patient care poses a significant issue and represents a challenge in educating the next generation of surgeons.

Author List

Coverdill JE, Carbonell AM, Cogbill TH, Fryer J, Fuhrman GM, Harold KL, Hiatt JR, Moore RA, Nakayama DK, Nelson MT, Schlatter M, Sidwell RA, Tarpley JL, Termuhlen PM, Wohltmann C, Mellinger JD

MESH terms used to index this publication - Major topics in bold

Attitude of Health Personnel
Ethics, Medical
Faculty, Medical
Female
General Surgery
Humans
Internship and Residency
Male
Patient Care
Personnel Staffing and Scheduling
Surveys and Questionnaires
Time Factors