Researchers at the University of California San Diego School of Medicine have shown that a systemic approach to eliminating inefficiencies in surgical residency programs can reduce unnecessary work hours in the general residency program at UC San Diego.
University of California - San DiegoDec 19 2024 The approach-;based on Lean methodology-;can also positively impact the training and overall well-being of surgery residents. The results are published today in the Journal of the American Medical Association .
The Accreditation Council for Graduate Medical Education introduced work-hour restrictions for medical trainees more than two decades ago to enhance patient safety and resident well-being, and the restrictions have proven effective for their stated goals. This study focused on determining whether Lean methodology-;a broad set of principles and tools designed to increase value by eliminating waste-;could effectively support surgery residents in adhering to 80-hour-per-week work restrictions.
Implementing the Lean process faced initial challenges, such as concerns that reducing resident hours might increase the burden on faculty. However, the analysis revealed that changes targeting redundant processes improved overall efficiency without impacting patient care or increasing faculty workload. The team also emphasized the importance of a cultural shift, encouraging residents to prioritize their well-being to be more present and energized for their patients.
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