, Volume 24, Issue 10, pp 1169-1170,
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Date: 28 Aug 2009

Duty Hour Reform and Internal Medicine Residency Training: No Time to Lose

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In the six years since restrictions were placed on resident work hours, much discussion and debate have ensued regarding the impact of these limitations on resident education and patient care. In 2008, the Institute of Medicine released a report encouraging further limits on resident work hours including a maximum shift of 16 hours unless five hours of protected sleep was provided.1 In response to this, the Accreditation Council for Graduate Medical Education (ACGME) is currently reviewing resident duty hours with a pledge to “completely examine resident duty hour standards, with a goal of making them better.”2 Although further duty hour limits for residents seem likely, there is no consensus on the impact of the initial regulations on patient care and education. In light of this, we believe internal medicine residency educators must actively participate in these discussions and serve as advocates for patients and residents through innovation and research.

In this issue of JGIM, Volpp a

Dr. Arora receives grant funding from the Accreditation Council of Graduate Medical Education (ACGME) and honoraria from the American Board of Internal Medicine. She has provided testimony on resident duty hours to the Institute of Medicine and to the ACGME Duty Hours Congress as a representative of the American College of Physicians.