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Varma S, Mehta A, Hutfless S, Stone RL, Wethington SL, Fader AN. Am J Obstet Gynecol. 2018;219:176.e1-176.e9.
Substantial debate continues as to whether the July effect—an increase in preventable adverse events in the summer when new resident physicians begin their training—represents a real phenomenon. Analyzing data across Maryland, investigators found no evidence for a seasonal increase in hysterectomy complication rates. A WebM&M commentary discussed possible interventions to reduce errors and care disruptions in July.