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Previous Volume 360:2242-2244 May 21, 2009 Number 21 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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The medical profession must provide quality, cost-effective care and seek high standards of patient safety. To improve patient safety in our teaching hospitals, a committee of the Institute of Medicine (IOM) recently proposed further reductions to duty-hour limits in residency training programs implemented by the Accreditation Council for Graduate Medical Education (ACGME) in 2003.¹ In this issue of the Journal, Nuckols et al.² report on the extension of a study commissioned by the IOM to estimate the labor costs and cost-effectiveness of implementing four major IOM recommendations: adherence to the 80-hour workweek, a 5-hour nap during extended shifts, a 16-hour . . . [Full Text of this Article]

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From the Department of Medicine, Washington University School of Medicine, St. Louis (M.S.B., K.S.P.); and the Department of Medicine, University of Chicago, Chicago (D.M.).

Related Letters:

Residents' Work Hours
Schwenk T. L., Brenner M. J., Auer R., Aujesky D., Rodondi N., Johns M. M.E., Goldberg J. L., Sandroni S., Blanchard M. S., Meltzer D., Polonsky K. S.
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N Engl J Med 2009; 361:928-930, Aug 27, 2009. Correspondence

This article has been cited by other articles:

• Schwenk, T. L., Brenner, M. J., Auer, R., Aujesky, D., Rodondi, N., Johns, M. M.E., Goldberg, J. L., Sandroni, S., Blanchard, M. S., Meltzer, D., Polonsky, K. S. (2009). Residents' Work Hours. NEJM 361: 928-930 [Full Text]