80-Hour Resident Work Week

Overview

Featured Article

Morrison AC, Wyatt MM, Carrick MM. Impact of the 80-hour work week on mortality and morbidity in trauma patients: an analysis of the national trauma data bank. J Surg Res 2009;154:157-62

Expert Reviews

Methodological Reviewer
Karen Brasel MD, MPH, Department of Surgery, Medical College of Wisconsin

Clinical Reviewer
Paola Fata MD, CM, FRCSC, Department of Surgery, McGill University

Clinical Reviewer
Tim Flynn MD, FACS, Department of Surgery, University of Florida

Supplementary Article

Rochon PA, Gurwitz JH, Sykora K et al. Reader’s guide to critical appraisal of cohort studies: 1. Role and design. BMJ 2005;330:895-897

Mamdani M, Sykora K, Li P et al. Reader’s guide to critical appraisal of cohort studies: 2. Assessing potential for confounding. BMJ 2005;330:960-962

Questions

  1. What is the clinical question being addressed?
  2. What is the study design? Is it appropriate?
  3. What are the sources of data?
  4. Are the data accurate and valid?
  5. What was the intervention and how was it assessed?
  6. What outcomes were considered?
  7. Are there other clinically important outcomes that should be considered?
  8. How large and precise was the difference in the outcome?
  9. Are there any factors (confounders) that might explain the differences in the results?
  10. State the conclusion. Have the authors addressed the clinical question posed?
  11. Does the evidence support the conclusion?
  12. Should the results of this study lead to changes related to the 80 hour work week?