Legislated Limits for Housestaff Training
Authors: Richard K. Root, Cathryn L. Nation
Journal: Annals of Internal Medicine (1992)

Editorials15 April 1992Legislated Limits for Housestaff TrainingRichard K. Root, MD, Cathryn L. Nation, MDRichard K. Root, MDSearch for more papers by this author, Cathryn L. Nation, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-116-8-694 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn July of 1989, New York State implemented strict limitations on in-hospital on-call time for residents in training to 80 hours per week for all but the surgical specialties. For the past 3 years the California State legislature has considered bills to similarly limit on-call hours for housestaff, an action strongly supported by an active statewide housestaff union. In 1992, the United Kingdom will initiate steps to limit the in-hospital time of its house physicians and registrars to 72 hours per week. These actions have occurred largely because of public concerns about the impact of excessively long training hours on...References1. Report of the Fourth Grand Jury for the April/May Term of 1986 Concerning the Cure and Treatment of a Patient and the Supervision of Interns and Junior Residents at a Hospital in New York County. New York: Supreme Court of the State of New York, County of New York; 1986:50. Google Scholar2. Schroeder S, Showstack J, and Gerbert B. Residency training in internal medicine: time for a change? Ann Intern Med. 1986;104:55461. LinkGoogle Scholar3. Kern D, Parrino T, and Korst D. The lasting value of clinical skills. JAMA. 1985;254:70-6. CrossrefMedlineGoogle Scholar4. Wu A, Folkman S, McPhee S, and Lo B. Do house officers learn from their mistakes? JAMA. 1991;265:2089-94. CrossrefMedlineGoogle Scholar5. Krieger L. Doctors' union says fatigue ups HIV risk. San Francisco Examiner. 23 January 1991 :A-5. Google Scholar6. Mangione C, Gerberding J, and Cummings S. Occupational exposure to HIV: frequency and rates of underreporting of percutaneous and mucocutaneous exposures by medical housestaff. Am J Med. 1991;90:85-90. CrossrefMedlineGoogle Scholar7. Deaconson T, O'Hair D, Levy M, Lee M, Schueneman A, and Condon R. Sleep deprivation and resident performance. JAMA. 1988;260:1721-7. CrossrefMedlineGoogle Scholar8. Hughes P, Conrad S, Baldwin D, Storr C, and Sheehan D. Resident physician substance use in the United States. JAMA. 1991;265:2069-73. CrossrefMedlineGoogle Scholar9. Bixler E, Kales A, Manfredi R, Vgontzes A, Tyson K, and Kales J. Next-day memory impairment with triazolam use. Lancet. 1991; 337:827-31. CrossrefMedlineGoogle Scholar10. Laine C, Hayes J, Goldman L, Bardes C, and Soukup J. The impact of a law restricting medical housestaff working hours on quality of patient care [Abstract]. Clin Res. 1991;39:603A. Google Scholar11. Thorpe K. House staff supervision and working hours: implications of regulatory change in New York State. JAMA. 1990;263:3177-81. CrossrefMedlineGoogle Scholar12. . Study of the economic impact of legislated limits on resident work hours in California. Final report executive summary. Sacramento, CA., Feb. 1990. Google Scholar13. Steinbrook R. Work week of interns, residents improving. Los Angeles Times. 9 March 1991. Google Scholar14. Schwartz M, Linzer M, Babbott D, Divine G, and Broadhead E. Medical student interest in internal medicine. Ann Intern Med. 1991;114:6-15. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Richard K. Root, MD; Cathryn L. Nation, MD PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe night float system of resident on callInternal medicine housestaff and attending physician perceptions of the impact of the New York State section 405 regulations on working conditions and supervision of residents in two training programsWhat do applicants look for when selecting internal medicine residency programs? 15 April 1992Volume 116, Issue 8Page: 694-696KeywordsMedical services ePublished: 1 December 2008 Issue Published: 15 April 1992 PDF downloadLoading ...