The Towards a Pan-Canadian Consensus on Resident Duty Hours project was divided into three distinct phases:
Phase 1 consisted of preliminary research and preparatory project management. This phase of the project successfully created a foundation of evidence upon which a better understanding of the current situation in Canada was developed. This work included a literature review, jurisdictional review, development of a national survey, an analysis of provincial housestaff organization (PHO) collective agreements regarding resident work hours, and interviews with National Steering Committee members. View a complete summary of the research methodology or Key Research Findings.
Phase 2 centered on the development of six Expert Working Group commentary papers. Gathering Canadian and international experts and representatives from across residency education and health service administration, the Expert Working Groups developed discussion papers on various cross-cutting issues related to resident duty hours, such as: professionalism, medical education, patient safety, resident and faculty health and wellness, health economics and health system performance, and special considerations for procedural disciplines. The expert working groups’ mandate was to collect, analyze and synthesize available evidence on their key topic in addition to providing overarching recommendations to the NSC. The diverse contributors also helped ensure that residents, medical educators, experts and other stakeholders provided input into this important process. Click here to learn more about the Expert Working Groups.
In addition, key elements of the environmental scan continued, including the literature review and release of the national survey of residents, postgraduate deans, program directors and hospital administrators.
Phase 3 saw stakeholder groups, physicians, residents and health care leaders from across Canada gather at a national consensus conference to help develop pan-Canadian recommendations for resident duty hours. Held on March 14-15, 2013, attendees examined the potential impacts that changing resident duty hours and contemporary events in Canada could have on patient safety, medical education, resident and faculty health and wellness, professionalism and health systems and health service delivery. This unique forum provided a vital opportunity for attendees to hear evidence and share their perspectives on this complex issue.
The final project report is a collation of the evidence, findings, recommendations, and suggested metrics reflecting the three project’s phases. Click here to read the final report, Fatigue, Risk and Excellence: Towards a Pan-Canadian Consensus on Resident Duty Hours.
Want to know more?
Visit the Research and Analysis page for a high-level summary of the research methodology, and key research findings.