Elimination of 24-hour continuous medical resident duty in Quebec

Elimination of 24-hour continuous medical resident duty in Quebec

Can J Surg 2016;59(1):67-69 | PDF | Appendix

Fadi Hamadani, BMedSci, MD, MSc; Dan Deckelbaum, MDCM, MPH; Mohammed Shaheen, MBBCh, MSc; Alexandre Sauvé, MD; Sinziana Dumitra, MD, MSc; Najma Ahmed, MD, PhD; Jean-François Latulippe, MD; Fady Balaa, MD; Mark Walsh, MS, MD; Paola Fata, MD

Summary

In 2012 Quebec limited continuous in-hospital duty to 16 consecutive hours for all residents regardless of postgraduate (PGY) level. The new restrictions in Quebec appeared to have a profound, negative effect on the quality of life of surgical residents at McGill University and a perceived detrimental effect on the delivery of surgical education and patient care. Here we discuss the results of a nationwide survey that we created and distributed to general surgery residents across Canada to capture and compare their perceptions of the changes to duty hour restrictions.


Accepted for publication Oct. 6, 2015

Affiliations: From the Dividion of General Surgery, McGill University Health Centre, Montreal, Que. (Hamadani, Deckelbaum, Shaheen, Latulippe, Fata); the Department of Surgery, St. Michael’s Hospital, Toronto, Ont. (Ahmed); the Hôpital Maisonneuve-Rosemont, Department of Surgery, Université de Montréal, Montreal, Que. (Latulippe); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Balaa); and the Department of Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, NS (Walsh).

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this commentary and approved the final version for publication.

DOI: 10.1503/cjs.007715

Correspondence to: F. Hamadani, Department of General Surgery, McGill University Health Centre, 1650 Cedar Ave., Montreal, QC, H3G 1A4; fadi.hamadani@mail.mcgill.ca