Flexibility In duty hour Requirements for Surgical Trainees Trial
"The FIRST Trial"
FIRST Trial Surgical Education Consortium

National Cluster-Randomized Trial of Duty Hour Flexibility in Surgical Training

Karl Y. Bilimoria, MD MS; Jeanette W. Chung, PhD; Larry V. Hedges, PhD; Allison R. Dahlke, MPH; Remi Love, BS; Mark E. Cohen, PhD; David B. Hoyt, MD; Anthony D. Yang, MD; John L. Tarpley, MD; John D. Mellinger, MD; David M. Mahvi, MD; Rachel R. Kelz, MD MSCE; Clifford Y. Ko, MD MS MSHS; David D. Odell, MD MMSc; Jonah J. Stulberg, MD PhD MPH; Frank R. Lewis, MD


The American College of Surgeons (ACS), the American Board of Surgery (ABS), and the Flexibility In duty hour Requirements for Surgical Trainees (FIRST) study investigators are announcing an extension of the FIRST Trial for the 2016-2017 academic year. This ongoing collaboration allows for continued information gathering to bolster evidence to support the future review of duty hour standards. The ACGME Board of Directors has issued a multicenter research trial waiver, along with seed funding, for the extension based on the recommendation of the ACGME Review Committee for Surgery. The ability to continue monitoring the programs participating in the initial study, along with adding information gathered from new programs that meet the qualifications to participate, will be of great benefit to the ongoing collection of evidence to support future reviews of these standards.

Dr. Nasca’s Letter of Support for the Trial Extension:


For questions please email Remi Love or call 312-503-3947