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Editor's Note
March 2016

FIRST Trial—Decision to Publish a Description of the Study

JAMA Surg. 2016;151(3):281. doi:10.1001/jamasurg.2015.5442

The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial is an important study assessing the value of the recent changes in work hours for surgical residents.1 It is unclear if the change in work hours improves or adversely influences outcomes for residents and/or patients. Although various adverse outcomes have been associated with long weekly work hours, it is uncertain whether the increased “handoffs” associated with reduced work hours and a limitation on the length of shifts can adversely affect either residents or patients.

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