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Why Surgeons Struggle with Work-Hour Reforms (Paperback)
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Why Surgeons Struggle with Work-Hour Reforms (Paperback)
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On July 1, 2003, work-hour reforms were enacted nationally for the
roughly 129,000 resident physicians in the United States. The
reforms limit weekly work hours (a maximum of eighty per week) and
in-hospital call (no more than once every three nights), mandate
days free of clinical and educational obligations (one day in
seven), and regulate other aspects of resident work life. Why
Surgeons Struggle with Work-Hour Reforms focuses on general
surgeons, a historically long-hour specialty, who fiercely opposed
the reforms and are among the least compliant. Why do surgeons
struggle with the reforms? Why do they continue to work long hours
and view the act of doing so as reasonable if not quintessentially
professional? Although the analysis is situated in the growing
scientific literature on the consequences of fatigue, the authors
do not adjudicate between the claims of surgeons and reform
advocates about the effects of long work hours on patient or
provider safety. Rather, the aim is to explore and explain how
aspects of the occupational culture of surgeons and the social
organization of surgical training and practice interlock to impede
the reforms.
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