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Research

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

Peter E. Wu, Lynfa Stroud, Heather McDonald-Blumer and Brian M. Wong
June 02, 2014 2 (2) E115-E120; DOI: https://doi.org/10.9778/cmajo.20130049
Peter E. Wu
1Department of Medicine, University of Toronto, Toronto, Ont.
2Department of Medicine, Toronto General Hospital, Toronto, Ont.
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Lynfa Stroud
1Department of Medicine, University of Toronto, Toronto, Ont.
3Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ont.
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Heather McDonald-Blumer
1Department of Medicine, University of Toronto, Toronto, Ont.
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Brian M. Wong
1Department of Medicine, University of Toronto, Toronto, Ont.
3Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ont.
4Centre for Quality Improvement & Patient Safety, University of Toronto, Toronto, Ont.
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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.

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    Table 1: Description of clinical workforce
    TitleDescription
    ResidentsMedical doctors in a graduate training program, practising under the supervision of fully licensed physicians.
    Academic facultyFully licensed physicians with a university appointment and academic focus. Responsibilities include supervision of residents.
    International fellowsAdvanced trainees who have often completed training in another accredited system. Supervised by academic faculty.
    Nonacademic physiciansFully licensed physicians who primarily do patient care with no required educational responsibility.
    Physician extendersNonphysicians trained to aid in clinical care. Examples include physician assistants and nurse practitioners.
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CMAJ Open: 2 (2)
Vol. 2, Issue 2
1 Apr 2014
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Understanding the effect of resident duty hour reform: a qualitative study
Peter E. Wu, Lynfa Stroud, Heather McDonald-Blumer, Brian M. Wong
Apr 2014, 2 (2) E115-E120; DOI: 10.9778/cmajo.20130049

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Understanding the effect of resident duty hour reform: a qualitative study
Peter E. Wu, Lynfa Stroud, Heather McDonald-Blumer, Brian M. Wong
Apr 2014, 2 (2) E115-E120; DOI: 10.9778/cmajo.20130049
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