Table 5.
Mean (SD) Individual Question Scores
| Overall | PGY-1 (N = 52) | PGY-2 (N = 41) | PGY-3 (N = 39) | |
|---|---|---|---|---|
| Clinical experience | ||||
| Compliance with the work hour rules resulted in delays in reviewing my patient’s test results.* | 2.39 (0.71) | 2.52 (0.64) | 2.41 (0.74) | 2.15 (0.67) |
| Compliance with the work hour rules limited the thoroughness of my patient workups.* | 2.44 (0.74) | 2.71 (0.67) | 2.36 (0.73) | 2.12 (0.70) |
| Compliance with the work hour rules limited the time I had to teach other team members.* | 2.26 (0.92) | 2.80 (0.74) | 2.13 (0.93) | 1.68 (0.74) |
| Too much attention is directed at complying with the work hour rules.* | 2.22 (0.88) | 2.30 (0.72) | 2.17 (0.85) | 2.23 (0.98) |
| I am able to provide a level of care to my patients that satisfied me.§ | 3.33 (0.72) | 3.46 (0.67) | 3.26 (0.73) | 3.22 (0.70) |
| How often did delays in patient care occur owing to multiple physician handoffs?† | 1.60 (0.68) | 1.60 (0.53) | 1.41 (0.77) | 1.74 (0.72) |
| Patient Care and Safety | ||||
| How does restricting resident work hours affect patient safety?‡ | 2.81 (1.09) | 3.29 (1.15) | 2.55 (0.99) | 2.36 (0.84) |
| How does restricting resident work hours affect patient care?‡ | 2.56 (1.02) | 2.98 (1.09) | 2.37 (0.92) | 2.10 (0.72) |
| Doing what is best for my patients and complying with the work hour rules often conflict.* | 2.56 (0.97) | 2.89 (0.96) | 2.36 (1.01) | 2.26 (0.80) |
| Communication | ||||
| How often did consult services have difficulty locating the primary team?† | 1.80 (0.80) | 1.74 (0.66) | 1.65 (0.88) | 2.05 (0.79) |
| How often did nurses have difficulty loading the appropriate member of the primary team?† | 2.20 (0.67) | 2.17 (0.59) | 2.10 (0.77) | 2.30 (0.66) |
| How often did work hour limitations impair communication between physicians and patients/families?† | 1.94 (0.61) | 1.96 (0.53) | 1.75 (0.66) | 2.10 (0.64) |
| Satisfaction with Training | ||||
| How does restricting resident work hours affect your job satisfaction?‡ | 3.63 (1.18) | 4.09 (0.89) | 3.46 (1.29) | 3.05 (1.19) |
| Compliance with the work hour rules has limited my ability to learn what I need to know to be an excellent physician.* | 3.12 (0.93) | 3.19 (0.95) | 3.19 (0.98) | 2.88 (0.79) |
| Compliance with the work hour rules limited my attending physician’s ability to teach my team.* | 2.75 (1.03) | 2.80 (1.06) | 2.13 (0.90) | 1.68 (1.01) |
| Restricting resident work hours is a good idea.§ | 3.92 (0.75) | 4.18 (0.66) | 3.79 (0.89) | 3.69 (0.65) |
| How does restricting resident work hours affect resident education?‡ | 2.18 (1.13) | 2.58 (1.13) | 1.90 (1.07) | 1.87 (1.06) |
| Work-Rest Balance | ||||
| I have adequate time away from the hospital.§ | 2.83 (0.85) | 3.23 (0.90) | 2.53 (0.71) | 2.60 (0.69) |
| I am well rested during my call months on the wards.§ | 3.07 (1.02) | 3.64 (0.86) | 2.86 (0.89) | 2.53 (0.89) |
*Scored “Strongly agree” = 1, “Agree” = 2, “Disagree” = 3, “Strongly disagree” = 4
†Scored “Frequently” = 1, “Occasionally” = 2, “Rarely” = 3, “Never” = 4
‡Scored “Negatively” = 1, “Somewhat negatively” = 2, “Not at all” = 3, “Somewhat positively” = 4, “Positively” = 5
§Scored “Strongly disagree” = 1, “Disagree” = 2, “Agree” = 3, “Strongly Agree” = 4