Reducing Resident Work Hours: Unproven Assumptions and Unforeseen Outcomes
Authors: Mitchell Charap
Journal: Annals of Internal Medicine (2004)

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. Skeff , Stephen Ezeji-Okoye , Peter Pompei , and Stanley Rockson The Effect of Work Hour Regulations on Personal Development during Residency Melinda E. Glines How Many Hours Is Enough? An Old Profession Meets a New Generation Steven A. Schroeder Residents' Work Hours Gabriella Varallo Bedarida Residents' Work Hours Sarang Kim Residents' Work Hours Timothy Lahey Residents' Work Hours Yungpo Bernard Su and Lydia Kang Residents' Work Hours Ilene M. Rosen , Judy A. Shea , and Lisa M. Bellini Residents' Work Hours Mitchell Charap Metrics Cited byEnseñanza de la medicina: el entorno"I Have Nothing Else to Give": A Qualitative Exploration of Emergency Medicine Residents' Perceptions of BurnoutMedical student perceptions of curricular influences on their wellbeing: a qualitative studyPrinciples of Social Emergency MedicineHas the Movement on Service Versus Education Shifted Too Far Toward Education?Large-scale implementation of the I-PASS handover system at an academic medical centreDo regulated resident working hours affect medical graduate education? Trends in the American psychiatry board pass rates pre- and post-2003 duty hours regulationsEffects of Fatigue on Driving Safety: A Comparison of Brake Reaction Times in Night Float and Postcall Physicians in TrainingThe transition to hospital consultant: Denmark and the Netherlands compared on preparedness for practice, perceived intensity and contextual factorsTrial of shift scheduling with standardized sign-out to improve continuity of care in intensive care units*Restricting resident work hoursNarrative, Written Sign-Outs and Interns' and Senior Medical Students' Confidence: A Randomized, Controlled Crossover TrialWhy Residents Consider Working Beyond the Duty Hour Limits: Implications of the ACGME 2011 Duty Hour StandardsIntensive Care Medicine Trainees' Perception of Professionalism: A Qualitative StudyFellows as teachers: a model to enhance pediatric resident educationSystematic Review: Association of Shift Length, Protected Sleep Time, and Night Float With Patient Care, Residents' Health, and EducationDarcy A. Reed, MD, MPH, Kathlyn E. Fletcher, MD, MA, and Vineet M. Arora, MD, MAIncoming Interns' Perspectives on the Institute of Medicine Recommendations for Residents' Duty HoursRedesigning Residency Education — Moving beyond Work HoursEffect of work-hours regulations on intensive care unit mortality in United States teaching hospitals*Resident work-hours or "duty hours": Evidence versus emotion*A Delicate BalanceInformation Environments for Supporting Consistent Registrar Medical HandoverHippocrates Affirmed? Limiting Residents' Work Hours Does No Harm to PatientsLee Goldman, MD and Nicholas H. Fiebach, MDFatigue Increases the Risk of Injury From Sharp Devices in Medical Trainees Results From a Case-Crossover StudyAdoption of duty-hour standards in a pharmacy residency programSystematic Review: Effects of Resident Work Hours on Patient SafetyKathlyn E. Fletcher, MD, MA, Steven Q. Davis, MD, Willie Underwood, MD, MS, Rajesh S. Mangrulkar, MD, Laurence F. 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 ...