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Table 3 Resident Perceptions of Culture and Duty Hour Violations

From: Perceptions of the 2011 ACGME duty hour requirements among residents in all core programs at a large academic medical center

Survey Question

Response, No. (%)

The ACGME duty hour rules are respected at my institution (n = 390)

 Strongly agree

235 (60)

 Agree

128 (33)

 Disagree

21 (5)

 Strongly disagree

6 (2)

The ACGME duty hour rules are consistently reflected in my work schedule (n = 390)

 Strongly agree

224 (57)

 Agree

143 (37)

 Disagree

19 (5)

 Strongly disagree

4 (1)

The ACGME duty hour rules are enforced at my institution (n = 390)

 Strongly agree

235 (60)

 Agree

134 (34)

 Disagree

16 (4)

 Strongly disagree

5 (1)

During the past year, I have exceeded the 28-h maximum work hour requirement (24 h continuous duty +4 h for transition of care) (n = 390)

 Frequently

10 (3)

 Occasionally

22 (6)

 Rarely

56 (14)

 Never

302 (77)

During the past year, I have exceeded the 80-h maximum weekly hour limit (n = 382)

 Frequently

11 (3)

 Occasionally

31 (8)

 Rarely

79 (21)

 Never

261 (68)

During the past year, I failed to have 1 day per week free of duty (averaged over 4 wk) (n = 389)

 Frequently

14 (4)

 Occasionally

16 (4)

 Rarely

24 (6)

 Never

335 (86)

Are there situations in which you believe it would be appropriate to violate duty hour rules? (n = 386)

 Yes

307 (80)

 No

79 (20)

Have you ever been asked to violate duty hour rules? (n = 388)

 Yes

25 (6)

 No

363 (94)

If so, by whom were you asked to violate duty hour rules? (n = 26)

 Peer

2 (8)

 Senior resident

7 (27)

 Attending physician

12 (46)

 Other

5 (19)

  1. Abbreviation: ACGME Accreditation Council for Graduate Medical Education