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Invited Critique
April 2013

A Call on Home Call: Comment on “The Influence of Intern Home Call on Objectively Measured Perioperative Outcomes”

Author Affiliations

Author Affiliation: Department of Surgery, University of Washington, Seattle.

JAMA Surg. 2013;148(4):352. doi:10.1001/jamasurg.2013.1130

This landmark study1 provides the first comprehensive assessment of surgical intern home call as it relates to patient outcomes. This study included objective, prospectively gathered surgical in-patient perioperative morbidity and mortality using the Veterans Affairs National Surgical Quality Improvement Program data set. During the first era (1999-2003), interns took in-hospital call and during the second (2004-2010), interns took home call. The question raised was whether intern home call correlated with increased rates for postoperative morbidity and mortality compared with intern in-hospital call. The findings did not show an association between intern home call and detrimental postoperative outcomes.

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