Description:

"Generating Evidence to Inform Policy: The FIRST Resident Duty Hour Trial"
Karl Y. Bilimoria, MD, MS
Assistant Professor of Surgery-Surgical Oncology, Feinberg School of Medicine

TIME to Learn Something New
Learning Objectives
At the end of this presentation, participants will be able to:
1. Describe the factors that led to the initial implementation of resident duty hour restrictions
2. Describe why the current research on duty hour limits is insufficient for making policy decisions
3. Describe the rationale for the design of the FIRST Trial
4. Describe how the potential results of the FIRST Trial may be interpreted

Credit Designation Statement
The Northwestern University Feinberg School of Medicine designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement
Dr. Karl Y. Bilimoria has nothing to disclose. The course director, Dr. Michael Gisondi, has nothing to disclose. FSM’s CME Leadership and Staff have nothing to disclose: John X. Thomas, Jr., PhD, Sr. Associate Dean for Medical Education, Clara J. Schroedl, MD, Director of Continuing Medical Education, Sheryl Corey, Manager of Continuing Medical Education, Jen Banys, Michelle Mallery, and Tristan Brown, CME Project Specialists.

Accreditation Statement
The Northwestern University Feinberg School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Recommended Reading List
1. Philibert I, Nasca T, Brigham T, Shapiro J. Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? Annual review of medicine. 2013;64:467-483. http://www.galter.northwestern.edu/exit?url=http://www.annualreviews.org/doi/full/10.1146/annurev-med-120711-135717

2. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA : the journal of the American Medical Association. Sep 5 2007;298(9):984-992. http://www.galter.northwestern.edu/exit?url=http://jama.jamanetwork.com/article.aspx?articleid=208648

3. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA : the journal of the American Medical Association. Sep 5 2007;298(9):975-983. http://www.galter.northwestern.edu/exit?url=http://jama.jamanetwork.com/article.aspx?articleid=208657

4. Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. The New England journal of medicine. Dec 2 2010;363(23):e34. http://www.galter.northwestern.edu/exit?url=http://www.nejm.org/doi/full/10.1056/NEJMp1011413

5. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. The New England journal of medicine. Oct 28 2004;351(18):1838-1848. http://www.galter.northwestern.edu/exit?url=http://www.nejm.org/doi/full/10.1056/NEJMoa041406#t=articleTop

6. Rajaram R, Chung JW, Jones AT, Cohen ME, Dahlke AR, Ko CY, Tarpley JL, Lewis FR, Hoyt DB, Bilimoria KY. Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. JAMA. 2014 Dec 10;312(22):2374-84. http://www.galter.northwestern.edu/exit?url=http://jama.jamanetwork.com/article.aspx?articleid=2020372

Sponsored by the Feinberg Academy of Medical Educators and the Department of Medical Education.