First Trial - Overview
Flexibility In duty hour Requirements for Surgical Trainees (FIRST) Trial
The FIRST Trial was a national, cluster-randomized, pragmatic noninferiority trial to test whether surgical-patient outcomes under flexible, less-restrictive duty-hour policies would be no worse than outcomes under standard ACGME policies. Secondary outcomes also studied included resident satisfaction, resident perceptions of patient care, resident education, and resident well-being. Of the 136 eligible general surgery residency programs, 117 (87%) programs and 151 affiliated hospitals participated. Programs and their affiliate hospitals were randomized to the control group (standard-policy group) or the intervention group (flexible-policy group). Outcomes were measured using ACS NSQIP data and the American Board of Surgery In-Training Examination (ABSITE) survey.
If you are interested in learning more about the FIRST Trial, please reach out to our team at SENTteam@iu.edu
Media Attention
Selected Publications
![](/Content/images/FirstSite/NEJM Publication 2016.png)
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NEJM Paper
![](/Content/images/FirstSite/NEJM Appendix 2016.png)
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NEJM Paper Appendix
![](/Content/images/FirstSite/NEJM Perspectives.png)
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NEJM Perspectives Paper
![](/Content/images/FirstSite/JAMA Surgery 2016.png)