The FIRST (Flexibility in Duty Hour Requirements for Surgical Trainees) trial randomized American surgical residency programs to one of two arms:
- Standard group continued with their current standard restricted hours practice of 80 hours per week with time for breaks/rest and a limit to hours of work at any one time.
- “Flexible” hours group removed current restrictions on hours worked at any one time and waived the need for breaks etc., whilst somehow maintaining the same overall 80 hour per week average.
Data was collected via systems and surveys that are already undertaken in the USA to establish if there was any detriment to the patient or the surgeon.
It has often been considered by those outside and inside the profession that surgeons are not human — and now we have it confirmed, as this trial, which included an intervention that impacted human subjects — was somehow classified as “non-human subjects” research, thus not subjecting it to a more in-depth review.
How did it get classified as non-human subjects research?
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