On July 1, 2003, prompted by the medical profession's concernsabout patient safety and the working conditions and educationof resident physicians, the Accreditation Council for GraduateMedical Education (ACGME) instituted one of the most substantialredesigns of the country's resident training system in morethan a century. Among other changes, the duty hours of residentswere tapered to 80 per week, averaged over 4 weeks, and shiftswere limited to 30 hours, with a minimum 10-hour rest periodbetween them.
Welcomed or criticized, the ACGME rules were anything but ignored.To comply with them, residency program leaders had to . . . [Full Text of this Article]
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Dr. Yoon is a medical oncology fellow at Johns Hopkins School of Medicine, Baltimore.
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