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Correspondence
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Volume 361:928-930 August 27, 2009 Number 9
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Residents' Work Hours

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 by Blanchard, M. S.
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 by Nuckols, T. K.
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To the Editor: The findings by Nuckols et al. (May 21 issue)1 demonstrate the fallacy, to which the Institute of Medicine (IOM) and other organizations have yielded, of trying to address the issue of residents' work stress by simply reducing the exposure. Passively reducing residents' exposure to work stress is a relatively weak approach. It would be far better to actively manage their caseload and complexity, provide appropriate support staff, promote greater collegiality and teamwork, and design more sophisticated approaches to the sharing and handoff of patient responsibilities.

Perhaps most importantly, the issue of residents' work stress presents an opportunity . . . [Full Text of this Article]




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