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Research Letter |

Assessment of Patient-Reported Experiences of Hospital Care and the July Phenomenon

Cornelius A. Thiels, DO1,2; Kristine T. Hanson, MPH1; Stephanie F. Heller, MD2; Martin D. Zielinski, MD2; Elizabeth B. Habermann, PhD1
[+] Author Affiliations
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota
2Department of Surgery, Mayo Clinic, Rochester, Minnesota
JAMA Surg. 2016;151(9):879-880. doi:10.1001/jamasurg.2016.0402.
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This case series examines surgical patients’ perceptions of care in July and August, with the influx of new surgical residents, vs the rest of the year.

A recent article1 suggested that the influx of new surgical residents at the beginning of the academic year is not associated with worse outcomes among patients undergoing emergency general surgery, contrary to the widely believed July phenomenon. In the modern era of surgical education, other studies have also supported the authors’ findings across other specialties including orthopedics,2 neurosurgery,3 and acute care surgery.4 We hypothesized that patient-centered outcomes are also not associated with the known influx of new surgical residents in July and August.

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