Before and after resident work hour limitations: An objective assessment of the well-being of surgical residents

Thomas Stamp, Paula M. Termuhlen, Sidney Miller, Dan Nolan, Peter Hutzel, James Gilchrist, R. Michael Johnson

Research output: Contribution to journalArticlepeer-review

50 Scopus citations


Purpose: To assess the impact of resident work hour limitations on how surgical residents feel about their training, patient care, and their overall well-being. Methods: Three surveys were administered to 28 cate gorical surgery residents before and after implementation of the Accreditation Council on Graduate Medical Education (ACGME) work hour restrictions. The surveys consisted of a Beck Depression Inventory II (BDI-II), a SF-36 Health Status Profile (SF-36), and a custom 20-item Likert scale survey. The results of the surveys were then compiled to evaluate any significant changes in resident attitudes. Results: Only minor differen ces were noted in the BDI-II and SF-36. The Likert scale survey showed no differences in attitude toward resident education, faculty interaction, operating room exposure, patient care, or continuity. Significant improvements were noted in the feelings of residents toward time for reading, rest, time with family, and socializing. Conclusions: Although a great deal of concern has existed about the impact of work hour limitations on surgery resident training, residents feel their training has not been affected significantly. Work hour restrictions have, however, had a positive impact on the lives of surgery residents outside of the hospital.

Original languageEnglish (US)
Pages (from-to)117-121
Number of pages5
JournalCurrent surgery
Issue number1
StatePublished - Jan 1 2005


  • General surgery training
  • Lifestyle
  • Resident well-being
  • Work hour limitations


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