Background Throughout their medical education, learners face multiple transition periods
associated with increased demands, producing stress and concern about the adequacy of …

Background Indian medical education system is on the brink of a massive reform. The
government of India has recently passed the National Medical Commission Bill (NMC Bill). It …

Object The presence of a “July effect,” where the influx of new residents and fellows at
teaching hospitals every July may negatively affect patient care and outcomes, is widely …

Objectives The timing of major elective operations is a potentially important but rarely
examined outcome variable. This study examined elective pancreaticoduodenectomy (PD) …

Background The “July effect” refers to the phenomenon of adverse impacts on patient care
arising from the changeover in medical staff that takes place during this month at academic …

The impact of labor turnover on productivity has received a great deal of attention in the
literature on organizations. We consider the impact of cohort turnover--the simultaneous exit …

BACKGROUND Prior studies examining the impact of the “July effect” on in‐hospital
mortality rates have generated variable results. In 2008, the Centers for Medicare & …

Objectives/Hypothesis A “July effect” of increased complications when new trainees begin
residency has been reported widely by the media. We sought to determine the effect of …

Introduction Data from a randomized trial suggest transfusion rates are similar for robotic
and open prostatectomy. The objective of this study was to compare perioperative outcomes …

We consider the impact of cohort turnover on operational performance in the context of
teaching hospitals. Using 12 years of data from a sample of US hospitals, we show that the …