Canadian Plastic Surgery Resident Work Hour Restrictions
Notice bibliographique
Résumé
BACKGROUND: Resident work hour restrictions are evolving in Canada and their impact on surgical training and education remain unclear and controversial. The purpose of this study is to examine the current practices and perceptions of Canadian plastic surgery residents and program directors regarding work hour restrictions. METHODS: An anonymous online survey developed by the authors was sent to all Canadian plastic surgery residents and program directors. Basic summary statistics were analyzed. RESULTS: Responses from 80 residents (53%) and 10 program directors (77%) were received. Residents reported working an average of 73 hours in hospital per week with 8 call shifts per month. During call shifts, they reported an average of 5 hours of sleep. Most residents (88%) reported taking an average of 0 post-call days off per month and 61% always work post-call regardless of how much sleep they’ve had. Most respondents (63%) reported wanting the option of working post-call and 77% do not want their work week restricted to 80 hours. Resident surgical and medical errors attributed to post-call fatigue were perceived by 26% and 49% of residents, and similarly, 30% and 40% of program directors, respectively. The majority of respondents believe (percentage of residents and program directors in agreement, respectively) the surgical (77%, 90%) and medical (74%, 60%) abilities of residents, and their ability to learn (82%, 70%), suffer if they’ve been up most of the night. It was also felt that residents would not have enough time to master their surgical skills if they don’t work post-call (53%, 80%). Residents perceived pressure from attending surgeons (56%) and other residents (53%) to work post-call. No program directors reported expecting their residents to work post-call on very little sleep. CONCLUSIONS: The majority of Canadian plastic surgery residents responding to this survey do not take, nor want, post-call days off. Residents and program directors agree that surgical and medical abilities were perceived to decrease with decreased sleep, however the desire of residents to master surgical skills and meet perceived expectations appears to encourage them to work post-call.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,020 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».