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BECOMING A PHYSICIAN Volume 356:2665-2667 June 28, 2007 Number 26 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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Four years after national limits on duty hours for medical residents took effect — and nearly two decades after similar limits were enacted by New York State — conversations with residency directors, attending physicians, health care researchers, and sleep-medicine experts suggest that neither patient care nor medical education is optimal under the current system and that further reforms are needed. But there is little agreement on what should be done or even on whether the work-hour limits should be tightened or relaxed.

U.S. teaching hospitals are handling more admissions, treating older and sicker patients, and discharging patients more quickly than . . . [Full Text of this Article]

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Dr. Okie is a contributing editor of the Journal.

An interview with Ethan Fried of St. Luke's–Roosevelt Hospital Center can be heard at www.nejm.org.

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