Sleepy Doctors: Work Hours and the Accreditation Council for Graduate Medical

AbstractOn March 5, 1984, Bennington College freshman Libby Zion died at New York Hospital. She had been admitted the night before with vague symptoms and strange jerking motions. After consulting with her family physician, the residents on call gave her intravenous solutions for possible dehydration and prescribed meperidine to control her jerking motions. They then left to take care of other patients. Luise Weinstein, the first-year resident, was responsible for 40 other patients. No sleep for her.

Effects of the Accreditation Council for Graduate Medical Education Duty-Hour Limits on Sleep, Work Hours, and Safety: In Reply

PEDIATRICS ◽

10.1542/peds.2008-2914 ◽

2008 ◽

Vol 122 (6) ◽

pp. 1414-1415

Author(s):

C. P. Landrigan ◽

A. M. Fahrenkopf ◽

D. Lewin ◽

P. J. Sharek ◽

L. K. Barger ◽

...

Keyword(s):

Medical Education ◽

Work Hours ◽

Accreditation Council ◽

Vascular Surgery Program Director Work Hours and Compensation Do Not Align With Accreditation Council for Graduate Medical Education-Proposed Requirements

Journal of Vascular Surgery ◽

10.1016/j.jvs.2020.04.049 ◽

2020 ◽

Vol 72 (1) ◽

pp. e24

Author(s):

Murray Shames ◽

Kapland Owens ◽

William P. Robinson ◽

Amy B. Reed ◽

Jason T. Lee ◽

...

Keyword(s):

Medical Education ◽

Vascular Surgery ◽

Program Director ◽

Work Hours ◽

Accreditation Council ◽

Using Low-Cost Models for Training First-Year Pediatric Residents on 4 Accreditation Council for Graduate Medical Education–Required Procedures

Pediatric Emergency Care ◽

10.1097/pec.0000000000002041 ◽

2020 ◽

Vol 36 (2) ◽

pp. 87-91

Author(s):

Tara Petroski ◽

Lynn Lawrence ◽

Haiping Qiao ◽

Brian H. Wrotniak

Keyword(s):

Medical Education ◽

Low Cost ◽

First Year ◽

Cost Models ◽

Pediatric Residents ◽

Accreditation Council ◽

Effects of the Accreditation Council for Graduate Medical Education Duty-Hour Limits on Sleep, Work Hours, and Safety

PEDIATRICS ◽

10.1542/peds.2008-2571 ◽

2008 ◽

Vol 122 (6) ◽

pp. 1413-1414 ◽

Cited By ~ 1

Author(s):

V. Y. Chang ◽

V. Arora

Keyword(s):

Medical Education ◽

Work Hours ◽

Accreditation Council ◽

Effect of the 80-Hour Work Week on Cases Performed by General Surgery Residents

The American Surgeon ◽

10.1177/000313480507100703 ◽

2005 ◽

Vol 71 (7) ◽

pp. 552-556 ◽

Cited By ~ 14

Author(s):

Shannon Tierney Mcelearney ◽

Alison R. Saalwachter ◽

Traci L. Hedrick ◽

Timothy L. Pruett ◽

Hilary A. Sanfey ◽

...

Keyword(s):

Medical Education ◽

Operating Room ◽

Surgical Training ◽

General Surgery ◽

Work Hours ◽

University Hospital ◽

Training Experience ◽

Accreditation Council ◽

The Accreditation Council for Graduate Medical Education (ACGME) implemented mandatory work week hours restrictions in 2003. Due to the traditionally long hours in general surgery, the effect of restrictions on surgical training and case numbers was a matter of concern. Data was compiled retrospectively from ACGME logs and operating room (OR) records at a university hospital for 2002 and 2003. Work week restrictions began in January 2003. This data was reviewed to determine resident case numbers, both in whole and by postgraduate year (PGY). Mean case numbers per resident-month in 2002 were 8.8 ± 8.2 for PGY1s, 16.2 ± 15.7 for PGY2s, 31.4 ± 12.9 for PGY3s, 31.5 ± 17.6 for PGY4s, and 31.5 ± 17.6 for PGY5s. In 2003, they were 8.8 ± 5.2 for PGY1s, 16.6 ± 13.9 for PGY2s, 27.8 ± 12.5 for PGY3s, 38.2 ± 18.8 for PGY4s, and 26.1 ± 9.6 for PGY5s. PGY1s, PGY2s, PGY3s, PGY4s, or all classes were not statistically different. PGY5s did have statistically fewer cases in 2003 ( P = 0.03). PGY5s did have statistically fewer cases after the work-hours restriction, which likely represented shifting of postcall afternoon cases to other residents. Comparing other classes and all PGYs, case numbers were not statistically different. Operative training experience does not appear to be hindered by the 80-hour work week.