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Previous Volume 347:1271-1272 October 17, 2002 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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What physicians do on a daily basis has evolved considerably in the past quarter-century, but the format of postgraduate medical training has changed relatively little. When we trained in internal medicine in the 1970s, our clinical rotations included every-second-or-third-night on-call schedules. At that time, completing all the tasks expected of a trainee routinely required 100 hours of work a week or more. Although the duty hours of house-staff trainees in internal medicine have decreased during the past 25 years, they remain substantial. Moreover, many of the other building blocks of medical training — work rounds, attending rounds, specialty conferences, and . . . [Full Text of this Article]

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