Understanding the effect of resident duty hour reform: a qualitative study

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Figure 1:
Framework linking 5 key areas of impact identified from study data. Participants perceived clinical care gaps to be the central theme affected by changes to resident duty hours. Participants discussed 3 sets of solutions to address clinical care gaps, which in turn will affect education, preparedness for practice, continuity of care and provider well-being.

Table 1: Description of clinical workforce

Title	Description
Residents	Medical doctors in a graduate training program, practising under the supervision of fully licensed physicians.
Academic faculty	Fully licensed physicians with a university appointment and academic focus. Responsibilities include supervision of residents.
International fellows	Advanced trainees who have often completed training in another accredited system. Supervised by academic faculty.
Nonacademic physicians	Fully licensed physicians who primarily do patient care with no required educational responsibility.
Physician extenders	Nonphysicians trained to aid in clinical care. Examples include physician assistants and nurse practitioners.