Working Conditions and Supervision for Residents in Internal Medicine Programs: Recommendations
Journal: Annals of Internal Medicine (1989)

Position Paper15 April 1989Working Conditions and Supervision for Residents in Internal Medicine Programs: RecommendationsAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-8-657 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail AbstractChanges intended to improve resident working conditions and supervision must take into account the complex realities governing teaching services. The American College of Physicians supports the ongoing reexamination of these issues, and recommends the following: 1) change be systematic and coordinated, balancing patient care and teaching needs; 2) changes in the medical care system itself are necessary in this process; 3) efforts be continued to reduce preventable medical error on teaching services within the limits of uncertainty intrinsic to medical practice; 4) reasonable restriction be placed on total continuous duty hours, but residents not disengage themselves prematurely from care of their patients; 5) residency training specifically teach techniques for balancing patient service, education, and personal life; 6) the issue of resident workload be addressed; and 7) formal evaluation of supervisory competence, explicit attention to the spirit of resident-supervisor relationships, respect for the principle of meaningful patient responsibility, and formal resident credentialing all be taken into account in improving resident supervision.References1. 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Ann Intern Med. 1988;108:435-49. LinkGoogle Scholar43. Konner M. Becoming a Doctor. New York: Viking Press; 1987. Google Scholar44. . Report on resident physician working hours and supervision. American Medical Association, Chicago, IL, December, 1987. Google Scholar45. Mizrahi T. Getting Rid of Patients. New Brunswick: Rutgers University Press; 1986:51. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *These recommendations, and the accompanying background and rationale, were written primarily by Frank Davidoff, MD, and James P. Nolan, MD. The recommendations were reviewed and approved by the Educational Policy Committee of the American College of Physicians. Members of the Educational Policy Committee included Jordan J. Cohen, MD, Chairman; Roger C. Bone, MD; R. Gordon Douglas, MD; Jerome P. Kassirer, MD; Robert A. Kreisberg, MD; Stephen G. Pauker, MD; Frederick F. Paustian, MD; and John Spittell, Jr., MD. The recommendations were approved by the College's Board of Regents on 19 November 1988. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySupervision of Resident PhysiciansThe Educational Role of Autonomy in Medical Training: A Scoping ReviewThe Importance of Fostering Ownership During Medical TrainingEl Libro Informático del Residente de Medicina Interna: adquisición de competencias y consecución de objetivos docentesThe Computer Book of The Internal Medicine Resident: Competence acquisition and achievement of learning objectivesEducation and Patient Care Effects of Resident Workload Restrictions: Tackling a Largely Unexplored SubjectA Bridge too Far: A Critique of the New ACGME Duty Hour RequirementsPhysicians and Sleep DeprivationImpact of a Resident Strike on Emergency Department Quality Indicators at an Urban Teaching HospitalHow Residents Spend Their Nights on CallAnalyzing the time and value of housestaff inpatient workExtended workshifts and excessive fatigueBeyond night float?Time analysis of a general medicine serviceDoctors as workersEffects of a night float system on housestaff neuropsychologic functionThe impact of the night float system on internal medicine residency programsTreatment of Chronic Lymphocytic Leukemia: A Preliminary Report of Spanish (Pethema) TrialsPost-call transfer of resident responsibilityPhysicians in Training and HIVResident education, work hours, and supervision: Time for change 15 April 1989Volume 110, Issue 8Page: 657-663KeywordsBoneMedical educationPatientsRacial and ethnic issuesResidency Issue Published: 15 April 1989 PDF downloadLoading ...