Reducing Resident Work Hours: Unproven Assumptions and Unforeseen Outcomes
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TL;DR
Reducing work hours limits the numbers of patients that residents care for and the extent of residents' involvement with individual patients, which affects both patient care and the education of the authors' future physicians.
Abstract
In the Balance18 May 2004Reducing Resident Work Hours: Unproven Assumptions and Unforeseen OutcomesMitchell Charap, MDMitchell Charap, MDFrom New York University School of Medicine, New York, New York.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-10-200405180-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail "There must be some way out of here," said the joker to the thief."There is too much confusion, I can't get no relief.Businessmen, they drink my wine, plowmen dig my earth,None of them along the line know what any of it is worth.""No reason to get excited," the thief he kindly spoke,"There are many here among us who feel that life is but a joke,But you and I, we've been through that, and this is not our fate,So let us not talk falsely now, the hour is getting late."–Bob DylanIn the 25 years that I have been teaching in ...References1. Accreditation Council on Graduate Medical Education.. Report of the ACGME Work Group on Resident Duty Hours. Chicago: Accreditation Council on Graduate Medical Education; 2002. Google Scholar2. NY Comp Codes R & Reg §405.4 (b) (6) (1989). Google Scholar3. Steinbrook R. The debate over residents' work hours. N Engl J Med. 2002;347:1296-302. [PMID: 12393837] CrossrefMedlineGoogle Scholar4. Ludmerer K. Time to Heal. New York: Oxford Univ Pr; 1999:320-1. Google Scholar5. Ludmerer K. Time to Heal. New York: Oxford Univ Pr; 1999:478-9. Google Scholar6. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health Care System. Washington, DC: National Acad Pr; 2000. Google Scholar7. Veasey S, Rosen R, Barzansky B, Rosen I, Owens J. Sleep loss and fatigue in residency training: a reappraisal. JAMA. 2002;288:1116-24. [PMID: 12204082] CrossrefMedlineGoogle Scholar8. Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287:955-7. [PMID: 11866625] CrossrefMedlineGoogle Scholar9. Petersen LA, Brennan TA, O'Neil AC, Cook EF, Lee TH. Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med. 1994;121:866-72. [PMID: 7978700] LinkGoogle Scholar10. Philibert I, Friedmann P, Williams WT. New requirements for resident duty hours [Editorial]. JAMA. 2002;288:1112-4. [PMID: 12204081] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From New York University School of Medicine, New York, New York.Disclosures: None disclosed.Corresponding Author: Mitchell Charap, MD, Department of Medicine, New York University School of Medicine, 550 First Avenue, New York, NY 10016; e-mail, Mitchell.[email protected]org. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBenefits of Resident Work Hours Regulation Kelley M. 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McMahon Jr., MD, MPH, and Sanjay Saint, MD, MPHResidents' Work HoursGabriella Varallo Bedarida, MD, PhDResidents' Work HoursSarang Kim, MDResidents' Work HoursTimothy Lahey, MDResidents' Work HoursYungpo Bernard Su, MD and Lydia Kang, MDResidents' Work HoursIlene M. Rosen, MD, Judy A. Shea, PhD, and Lisa M. Bellini, MDHow Many Hours Is Enough? An Old Profession Meets a New GenerationSteven A. Schroeder, MD 18 May 2004Volume 140, Issue 10Page: 814-815KeywordsForecastingGraduate medical educationHabitsLearning curvesLegislationMedical educationPatientsResidencySleep deprivationWine ePublished: 18 May 2004 Issue Published: 18 May 2004 Copyright & PermissionsCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
