Gastroenterology
Volume 136, Issue 4 , Pages 1145-1147 , April 2009

Response to the Institute of Medicine's Recommendations on Resident Duty Hours: The Medical Residency Program and GI Fellowship Viewpoints

  • Mark W. Babyatsky, MD, FACP

      Affiliations

    • Drs. Richard and Mortimer Bader, Professor of Medicine, Vice Chairman of Education, Program Director, Internal Medicine Residency, Mount Sinai Medical Center, Department of Medicine, New York, New York
    • ,
  • Hasan Bazari, MD

      Affiliations

    • Assistant Chief of Medicine, Director of Residency Training, Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts
    • ,
  • John Del Valle, MD

      Affiliations

    • Professor and Interim Chair, Director of Residency Program of the Department of Internal Medicine, University of Michigan Health System, Department of Internal Medicine, Ann Arbor, Michigan

References 

  1. Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. JAMA. 2006;296:1063–1070
  2. Arora V, Wayne DB, Anderson A, et al. Participation in and perceptions of unprofessional behaviors among incoming internal medicine interns. JAMA. 2008;300:1132–1124
  3. Resident duty hours: enhancing sleep, supervision, and safety. Washington, DC: National Academic Press; 2008;
  4. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns; work hour on serious medical errors in intensive care units. N Engl J Med. 2004;351:1838–1848
  5. Ayas NT, Barger BE, Cade DM, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA. 2006;296:1055–1062
  6. Barger LK, Cade BE, Ayas NT, et al. Extended work shifts and the risk of motor vehicle crashes among interns. N Engl J Med 205;352:125–134.
  7. Howard DL, Silber JH, Jobes DR. Do regulations limiting residents' work hours affect patient mortality?. J Gen Med. 2004;19:1–7
  8. Fletcher KE, Underwood W, Davis SQ, et al. Effects of work duty hours on residents' lives: a systematic review. JAMA. 2005;294:1088–1100
  9. http://www.cbo.gov/budget/factsheets/2008b/medicare.pdf
  10. Jagsi R, Weinstein DF, Shapiro J, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165:2607–2261
  11. VA National Center for Patient SafetyJoint Commission International Center for Patient Safety. 2006;
  12. Gandhi TK. Fumbled handoffs; one dropped ball after another. Ann Intern Med. 2005;142:352–358
  13. Singh H, Thomas EJ, Peterson LA, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med. 2007;167:2030–2036
  14. Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour regulations. Ann Intern Med. 2007;147:97–103
  15. Arora V, Hohnson J, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement a critical incident analysis. Qual Safety Health Care. 2005;14:401–407

 Conflicts of interest The authors disclose no conflicts.

PII: S0016-5085(09)00196-6

doi: 10.1053/j.gastro.2009.02.016

Gastroenterology
Volume 136, Issue 4 , Pages 1145-1147 , April 2009

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