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