Skip to main content Accessibility help

Paediatric cardiology fellowship training: effect of work-hour regulations on scholarly activity

  • Christina Ronai (a1) (a2) and Peter Lang (a1) (a2)



In 2003, work-hour regulations were implemented by the Accreditation Council for Graduate Medical Education. Much has been published regarding resident rest and quality of life as well as patient safety. There has been no examination on the effect of work-hour restrictions on academic productivity of fellows in training. Paediatric subspecialty fellows have a scholarly requirement mandated by the American Board of Pediatrics. We have examined the impact of work-hour restrictions on the scholarly productivity of paediatric cardiology fellows during their fellowship.


We conducted a literature search for all paediatric cardiology fellows between 1998 and 2007 at a single academic institution as first or senior authors on papers published during their 3-year fellowship and 3 years after completion of their categorical fellowship (n=63, 30 fellows before 2003 and 33 fellows after 2003). The numbers of first- or senior-author fellow publications before and after 2003 were compared. We also collected data on final paediatric cardiology subspecialty career choice.


There was no difference in the number of fellow first-author publications before and after 2003. Before work-hour restrictions, the mean number of publications per fellow was 2.1 (±2.2), and after work-hour restrictions it was 2.0 (±1.8), (p=0.89). By subspecialty career choice, fellows who select electrophysiology, preventative cardiology, and heart failure always published within the 6-year time period.


Since the implementation of work-hour regulations, total number of fellow first-authored publications has not changed. The role of subspecialty choice may play a role in academic productivity of fellows in training.


Corresponding author

Correspondence to: C. Ronai, MD, MSEd, Department of Cardiology, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, United States of America. Tel: +617 355 9660; Fax: +617 739 6282; E-mail:


Hide All
1. Philibert, I, Friedmann, P, Williams, WT. New requirements for resident duty hours. JAMA 2002; 288: 11121114.
2. Dola, C, Nelson, L, Lauterbach, J, Degefu, S, Pridjian, G. Eighty hour work reform: faculty and resident perceptions. Am J Obstet Gynecol 2006; 195: 14501456.
3. Landrigan, CP, Fahrenkopf, AM, Lewin, D, et al. Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safety. Pediatrics 2008; 122: 250258.
4. Desai, SV, Feldman, L, Brown, L, et al. Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. JAMA Intern Med 2013; 173: 649655.
5. Fletcher, KE, Underwood, W, Davis, SQ, Mangrulkar, RS, McMahon, LF, Saint, S. Effects of work hour reduction on residents’ lives: a systematic review. JAMA 2005; 294: 10881100.
6. Fitzgibbons, SC, Chen, J, Jagsi, R, Weinstein, D. Long-term follow-up on the educational impact of ACGME duty hour limits: a pre-post survey study. Ann Surg 2012; 256: 11081112.
7. Durkin, ET, McDonald, R, Munoz, A, Mahvi, D. The impact of work hour restrictions on surgical resident education. J Surg Educ 2008; 65: 5460.
8. Simien, C, Holt, KD, Richter, TH. The impact of ACGME work-hour reforms on the operative experience of fellows in surgical subspecialty programs. J Grad Med Educ 2011; 3: 111117.
9. Miulli, DE, Valcore, JC. Methods and implications of limiting resident duty hours. J Am Osteopath Assoc 2010; 110: 385395.
10. Samuels, RC, Chi, GW, Rauch, DA, Palfrey, JS, Shelov, SP. Lessons from pediatrics residency program directors’ experiences with work hour limitations in New York State. Acad Med 2005; 80: 467472.
11. Jagsi, R, Shapiro, J, Weissman, JS, Dorer, DJ, Weinstein, DF. The educational impact of ACGME limits on resident and fellow duty hours: a pre-post survey study. Acad Med 2006; 81: 10591068.
12. Namdari, S, Baldwin, KD, Weinraub, B, Mehta, S. Changes in the number of resident publications after inception of the 80-hour work week. Clin Orthop Relat Res 2010; 468: 22782283.
13. ABP Scholarly Activity.


Related content

Powered by UNSILO

Paediatric cardiology fellowship training: effect of work-hour regulations on scholarly activity

  • Christina Ronai (a1) (a2) and Peter Lang (a1) (a2)


Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.