- Purpose and Goals of the Trial
- Program Responsibilities
- Frequently-asked Questions
- Assess Eligibility / Request Application
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PURPOSE AND GOALS OF THE TRIAL
We are proposing to conduct a systematic, large-scale cluster randomized trial comparing the current duty-hour regimen (16 hour maximum continuous work period) against a more flexible regimen characterized by three simple rules for all IM trainees:
- 80 hours maximum duty per week
- 1 day off in 7*
- In-house call no more frequent than q3 nights*
*averaged over a 4-week period
The goal of iCOMPARE is to provide evidence to help policy makers evaluate whether the current duty hour standards should be changed.
Click Here For Details DESIGN SUMMARY
iCOMPARE is a one-year randomized trial that will assign participating ACGME-accredited Internal Medicine training programs to one of two duty-hour regimens:
- Current regimen; or
- Flexible regimen (up to 80 hours per week, 1 day off in 7, night call no more than one in three)
Outcomes include measures of patient safety and trainee education.
The ACGME will provide duty hour waivers to all participating programs from July 2015 through at least June 2019 (or until action is taken on duty hour policy)
Click Here For Details RECRUITMENT
The iCOMPARE team will recruit Internal Medicine training programs that meet certain pre-specified eligibility criteria for participation. Interested programs may check whether they appear to meet these eligibility criteria by visiting the iCOMPARE Request an Application page (link below). Interested programs that do not appear to meet those criteria may still complete the Request an Application form, providing as much information as possible, so that the iCOMPARE team can reassess eligibility. Eligiblity criteria are based on program size, hospital resident-to-bed ratio, and hospital patient volumes in diagnosis groups being measured.
|Apr 06, 2014:||Begin soliciting interested programs; assess eligibility|
|May 01, 2014:||Begin distributing applications to interested and eligible programs|
|Aug 17, 2014:||Begin notifying selected programs about participation (rolling notifications)|
|Sep 30, 2014:||Last date for programs to apply|
|Oct 20, 2014:||Last date for participating programs to submit final agreements and DIO approval|
|Sep 15, 2014:||Begin notifying participating programs of duty-hour assignment (rolling assignments)|
|Oct 31, 2014:||Finish notifying participating programs of duty-hour assignment (rolling assignments)|
|Jul 01, 2015:||Programs begin duty-hour regimen|
|Jun 30, 2016:||Program participation ends|
Click Here For Details PROGRAM RESPONSIBILITIES
Training programs that participate in the iCOMPARE study will agree to a number of important responsibilities, including:
- Commitment to participate for the entire study year (2015-16)
- Submit a template of, and adhere to, the assigned duty-hour schedule
- Provide trainee contact information for 2015-16
- Encourage timely completion of beginning-of-year and end-of-year surveys by trainees and Program Directors
- Participate in iCOMPARE conference calls
iCOMPARE is led by investigators from the University of Pennsylvania, Johns Hopkins University, and the Brigham and Women's Hospital/Harvard Medical School. The study is contingent upon receiving funding, with a decision expected during the summer or fall of 2014.
The ACGME has approved waivers of the duty-hour standards for programs that participate in iCOMPARE.
Click Here For Details FREQUENTLY ASKED QUESTIONS
Click here for a list of detailed questions-and-answers about the iCOMPARE study.
Request an Application ASSESS ELIGIBILITY / REQUEST APPLICATION
iCOMPARE will select training programs to participate from a list of eligible programs that apply to join the study. Elgibility may be determined in two ways:
- Many programs have been pre-determined to be eligible based on data available from the ACGME and CMS
- Some programs that have not be pre-determined to be eligible may still request an eligibility assessment by providing more recent data to the iCOMPARE team
In both cases, interested programs should request an application by visiting the Request an Application page and supplying as much information as possible. Ideally, this request will be supplied by the Program Director.
The Request an Application page also contains information about which programs have been pre-determined to be eligible.