December 22, 2014
In a quasi-experimental study of general surgery patient outcomes, results showed implementation of the 2011 Accreditation Council for Graduate Medical Education duty hour reform was not associated with a change in general surgery patient outcomes or differences in resident examination performance.
Researchers compared teaching and nonteaching hospitals using a difference-in-differences approach adjusted for procedural mix, patient comorbidities and time trends of general surgery patient outcomes 2 years before and after the 2011 Accreditation Council for Graduate Medical Education (ACGME) duty hour reform. The main analysis consisted of 204,641 patients who underwent surgery at 23 teaching and 31 nonteaching hospitals participating in the American College of Surgeons National Surgical Quality improvement Program. For the same period, the researchers assessed general surgery resident performance on the annual in-training, written board and oral board examinations.