On December 2, about 5 years after the Accreditation Councilfor Graduate Medical Education (ACGME) imposed national limitson the duty hours of medical residents, the Institute of Medicine(IOM) issued a report recommending that further measures betaken to ensure that hospitals provide safer conditions forpatients and trainees while maintaining rigorous teaching programs.1The report concludes that these new measures should be focusedon alleviating fatigue and loss of sleep among trainees, increasingtheir supervision by more senior physicians, improving the processesby which responsibilities for patients are transferred fromphysicians going off duty to those coming on, . . . [Full Text of this Article]
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Mr. Iglehart is a national correspondent for the Journal.
This article (10.1056/NEJMp0808736) was published at www.nejm.org on December 3, 2008. It will appear in the December 18 issue of the Journal.
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