%0 Journal Article
%T Factors associated with intern noncompliance with the 2003 Accreditation Council for Graduate Medical Education¡¯s 30-hour duty period requirement
%A Christopher G Maloney
%A Armand H Antommaria
%A James F Bale
%A Jian Ying
%A Tom Greene
%A Rajendu Srivastava
%J BMC Medical Education
%D 2012
%I BioMed Central
%R 10.1186/1472-6920-12-33
%X Retrospective review of interns¡¯ performance against the 30-hour duty period requirement during inpatient ward rotations at a pediatric residency program between June 24, 2008 and June 23, 2009. The analytical plan included both univariate and multivariable logistic regression analyses.Twenty of the 26 (77%) interns had 80 self-reported episodes of continuous work hours greater than 30£¿hours. In multivariable analysis, noncompliance was inversely associated with the number of prior inpatient rotations (odds ratio: 0.49, 95% confidence interval (0.38, 0.64) per rotation) but directly associated with the total number of patients (odds ratio: 1.30 (1.10, 1.53) per additional patient). The number of admissions on-call, number of admissions after midnight and number of discharges post-call were not significantly associated with noncompliance. The level of noncompliance also varied significantly between interns after accounting for intern experience and workload factors. Subject to limitations in statistical power, we were unable to identify specific intern characteristics, such as demographic variables or examination scores, which account for the variation in noncompliance between interns.Both intern and workload factors were associated with pediatric intern noncompliance with the 30-hour duty period requirement during inpatient ward rotations. Residency programs must develop information systems to understand the individual and experience factors associated with noncompliance and implement appropriate interventions to ensure compliance with the duty hour regulations.In 2003 the Accreditation Council for Graduate Medical Education (ACGME), in the U.S., implemented national resident duty hour requirements in response to concerns that excessive work hours were contributing to medical errors [1-3]. Major elements of the regulations included: a maximum work week of 80£¿hours averaged over four weeks, maximum in-house call frequency of every third night averaged over 4£¿weeks, a
%U http://www.biomedcentral.com/1472-6920/12/33