Healthcare Management
Resident Duty Hours
The Institute of Medicine’s Committee on Optimizing Graduate Medi- cal Trainee (Resident) Hours and Work Schedules to Improve Patient Safety evaluated the literature concerning (1) the impact of current residents’ duty hours on patient safety and (2) the relationship of hours of work and sleep to performance. The principal aim of residency training in the United States is to prepare young doctors for the safe, independent practice of medicine once they are on their own. While they are in training, residents are often required to be on duty for long hours. Many medical educators believe that extensive duty hours during training are essential to provide residents with the rich educational experience necessary to achieve professional compe- tence in the complexities of diagnosis and treatment of patients. In 2003 the Accreditation Council for Graduate Medical Education (ACGME) adopted common program requirements to restrict resident workweeks to an aver- age of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours, as well as other limits.
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