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Previous Volume 347:1296-1302 October 17, 2002 Number 16

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

	Full Text PDF PDA Full Text Purchase this article Editorial by Drazen, J. M. Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

After years of discussion, the system of training resident physicians in the United States is about to undergo substantial changes. As of July 1, 2003, more — but not all — residents will be limited to 80 hours of work per week, averaged over a four-week period.^1,2

The new requirements are part of a general effort to improve the safety of patients and the working conditions and education of residents. They are also designed to forestall federal regulation that could take away some of the authority of the Accreditation Council for Graduate Medical Education (ACGME), the organization that accredits residency-education . . . [Full Text of this Article]

Background

Calculating Work Hours

Reasons to Limit Work Hours

Problems with Limiting Hours

The 80-Hour Workweek

The Role of the ACGME

Reviews of Programs

Current Duty-Hour Requirements

The General-Surgery Program at Yale

Work-Hour Limits in New York State

The New Accreditation Standards

Concern about the New Standards

The Effect on Hospitals and Training Programs

The Costs of Compliance

The Prospect of More Federal and State Regulation

The Future

Related Letters:

Residents' Work Hours
Crausman R. S., Mullins M. D., Mascolo M. C., Watson P. Y., Potee R., Blalock A., Rosen I. M., Shea J. A., Bellini L. M., Steinbrook R.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:664-666, Feb 13, 2003. Correspondence

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