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Article Citation:
Peter J. Carek, Joseph W. Gravel Jr, Stanley Kozakowski, Perry A. Pugno, Gerald Fetter, and Elissa J. Palmer (2009) Impact of Proposed Institute of Medicine Duty Hours: Family Medicine Residency Directors' Perspective. Journal of Graduate Medical Education: December 2009, Vol. 1, No. 2, pp. 195-200.
doi: http://dx.doi.org/10.4300/JGME-D-09-00003.1

Duty Hours

Impact of Proposed Institute of Medicine Duty Hours: Family Medicine Residency Directors' Perspective

Peter J. Carek, MD, MS, Joseph W. Gravel Jr, MD, Stanley Kozakowski, MD, Perry A. Pugno, MD, MPH, CPE, Gerald Fetter, MSA, and Elissa J. Palmer, MD
Abstract

Purpose To examine the opinions of family medicine residency program directors concerning the potential impact of the Institute of Medicine (IOM) resident duty hour recommendations on patient care and resident education.

Methods A survey was mailed to 455 family medicine residency program directors. Data were summarized and analyzed using Epi Info statistical software. Significance was set at the P < .01 level.

Results A total of 265 surveys were completed (60.9% response rate). A majority of family medicine residency program directors disagreed or strongly disagreed that the recent IOM duty hour recommendations will, in general, result in improved patient safety and resident education. Further, a majority of respondents disagreed or strongly disagreed that the proposed IOM rules would result in residents becoming more compassionate, more effective family physicians.

Conclusion A majority of family medicine residency program directors believe that the proposed IOM duty hour recommendations would have a primarily detrimental effect on both patient care and resident education.

Peter J. Carek, MD, MS, is Professor at the Department of Family Medicine, Medical University of South Carolina (MUSC) and Director of the Trident/MUSC Family Medicine Residency Program; Joseph W Gravel Jr, MD, is Residency Program Director of Lawrence Family Medicine Residency and Associate Professor at the Department of Family Medicine, Tufts University School of Medicine; Stanley Kozakowski, MD, is Director of the Family Medicine Residency Program at Hunterdon Medical Center and Clinical Professor of Family Medicine at Robert Wood Johnson Medical School; Perry A. Pugno, MD, MPH, CPE, is Director of the Division of Medical Education at American Academy of Family Physicians, Professor at the Department of Family and Community Medicine, University of California at Davis, and Professor at the Department of Family and Community Medicine, University of Kansas; Gerald Fetter, MSA, is Executive Vice President at the Association of Family Medicine Residency Directors; and Elissa J. Palmer, MD, is Professor and Chairperson of the Department of Family and Community Medicine and Director of Reproductive Services/Director of Rural Track Residency at University of Nevada School of Medicine.

Corresponding author: Peter J Carek, MD, MS, Department of Family Medicine, Medical University of South Carolina, 9228 Medical Plaza Drive, Charleston, SC 29406, 843.876.7080,