, Volume 26, Issue 7, p 677
Date: 10 May 2011

From the Editors’ Desk: The July Effect

This is an excerpt from the content

While the heat outside may be stifling, at America’s teaching hospitals, July brings a waft of fresh air. Senior residents have graduated, new interns have arrived. The wards are abuzz with excitement. We know colleagues who ask for ward duty assignments in July, just for the thrill of it. “The interns hang on your every word,” they say. “It’s a good feeling.”

This July brings a surfeit of good feelings, but there will be challenges as well. New residency work hour rules proposed by the Accreditation Council for Graduate Medical Education (ACGME) in 2010 are due to take effect this month. The rules call for increased supervision of physicians-in-training, tighter limits on moonlighting, and reduced work hours for first-year residents. With interns limited to shifts of 16 hours, residency programs have been scrambling to create new call schedules and systems for cross-coverage. No one really knows what will happen. By imposing uniform work hours on a national basis, the ACGIM has impeded