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Changes in the number of resident publications after inception of the 80-hour work week Namdari S; Baldwin KD; Weinraub B; Mehta SClin Orthop Relat Res 2010[Aug]; 468 (8): 2278-83BACKGROUND: Since the inception of resident work-hour regulations, there has been considerable concern regarding the influence of decreased work hours on graduate medical education. In particular, it is unclear whether implementation of work-hour restrictions has influenced resident academic performance as defined by quantity of peer-reviewed publications while participating in graduate medical education. QUESTIONS/PURPOSES: We determined the impact of work-hour changes on resident involvement in the number of published clinical studies, laboratory research, case reports, and review articles. METHODS: We conducted a PubMed literature search of 139 consecutive orthopaedic surgery residents (789 total resident-years) at one institution from academic years 1995-1996 to 2008-2009. This represented a continuous timeline before and after implementation of work-hour restrictions. The number of resident publications before and after implementation of work-hour changes was compared. RESULTS: There was a greater probability of peer review authorship in any given resident-year after work-hour changes than before. Average publications per resident-year increased for total articles, clinical articles, case reports, and reviews. There was an increased rate of publications in which the resident was the first author. CONCLUSIONS: Since implementation of work-hour changes, total resident publications and publications per resident-year have increased.|*Efficiency[MESH]|Databases, Bibliographic[MESH]|Educational Measurement[MESH]|Female[MESH]|Humans[MESH]|Internship and Residency/*statistics & numerical data[MESH]|Male[MESH]|Orthopedics/*education/*statistics & numerical data[MESH]|PubMed[MESH]|Publications/statistics & numerical data[MESH]|Publishing/*statistics & numerical data[MESH]|Work Schedule Tolerance[MESH]|Workload/*statistics & numerical data[MESH] |
