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Table 2 Summary of studies analysing the impacts on surgeon's education (Part 1)

From: Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review

Education I
Improved No Change Worsen
Source Outcome Source Outcome Source Outcome
Basu et al, 2004[14]
A 68-item survey of plastic surgery residents (n = 12)
More time for general reading, preparation for operative cases, and for presenta-tions and for conferences Gelfand et al, 2004[21]
Pre-post survey of residents (n = 37) and faculty members (n = 27), and work-hour regist,
No significant changes in operating room hours, clinic time, and duration of rounds Chung et al, 2004[15]
Pre-post survey of surgical residents, determination of program components
Fewer consultations seen, reduced conference attendance, and reduced operation per week.
Immerman et al, 2007[19]
Survey of opinions and attitudes of orthopaedic residents (n = 976) and program directors (n = 85)
Especially junior residents perceived that the new regulation has a positive effect on surgical education Ferguson et al, 2005[24]
Pre-post study analysing surgical operative logs of residents in general surgery, restrospective review
The residents operative volume could be maintained, the operative volume was unchanged Jarman et al, 2004[27]
Pre-post study of general surgery residents, review of operative logs
Work-hour restrictions result in a significant decrease in operative experience
Schneider et al, 2007[20]
Pre-post evaluation of operative case logs, standardized scores, residents perception survey
Substantial increase of operative cases in PGY1 and PGY2,
ABSITE Score improved
Malangoni et al, 2005[25]
Pre-post study of work-load and work-hours, senior residents survey at level I trauma center
The number of operation performed by senior residents did not changed, no difference in trauma patient care exposure or operative case load Kort et al, 2004[16]
Survey of general surgery residents (n = 164)
The majority felt that their operative experience was reduced
_ _ Mendoza and Britt, 2005[23]
Mixed-design study of 253 programs, survey of residents, determination of operative volume
No significant differences in the operative volume of residents Cohen-Gadol et al, 2005[29]
Nationwide survey of program directors (n = 93) and residents (n = 617)
61% of residents noted that the new guidelines have had negative effect on their training
_ _ Spencer and Teitelbaum, 2005[22]
Pre-post study and survey of residents (n = 91) on pediatric surgery
No significant changes in total number of cases per day for junior and senior residents,
residents perception of their education did not changed
Myers et al, 2006[28]
Pre-post survey of general surgery residents (n = 200) at 5 academic medical centers
Decrease in the evailable opportunities for bedside learning. The quality of education may have declined