Academic Psychiatry

, Volume 29, Issue 3, pp 279–282 | Cite as

New ACGME Work-Hour Guidelines and Their Impact on Current Residency Training Practices

  • S. Pirzada SattarEmail author
  • Fatima Basith
  • James Madison
  • Subhash C. Bhatia
Original Article



Accreditation Council for Graduate Medical Education (ACGME) has introduced new work-hour guidelines for residents in ACGME accredited programs that were implemented in July 2003. The new ACGME policies impact several practices in various psychiatry residency programs across the U.S., even though psychiatry has not been at the forefront of the debate regarding work hours.


The authors surveyed all psychiatry residency programs in the U.S. and identified several current practices that may infringe on the new ACGME work-hour guidelines.


Further interpretation of the new guidelines is needed.


Sleep Deprivation Residency Program Academic Psychiatry Residency Training Graduate Medical 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Report of the ACGME Work Group on Resident Duty Hours. Chicago, Accreditation Council for Graduate Medical Education, 2002Google Scholar
  2. 2.
    Lamberg L: Long hours, little sleep: bad medicine for physicians-in-training? JAMA 2002; 287: 303–305PubMedCrossRefGoogle Scholar
  3. 3.
    Philibert I, Friedmann P, Williams WT: New requirements for resident duty hours. JAMA 2003; 288: 1112–1114CrossRefGoogle Scholar
  4. 4.
    Leung L, Becker CE: Sleep-deprivation and house staff performance: update 1984–1991. J Occup Environ Med 1992; 34: 1153–1160Google Scholar
  5. 5.
    Samkoff JS, Jacques CHM: A review of studies concerning effects of sleep-deprivation and fatigue on residents’ performance. Acad Med 1991; 66: 687–693PubMedCrossRefGoogle Scholar
  6. 6.
    Koslowsky M, Babkoff H: Meta-analysis of the relationship between total sleep deprivation and performance. Chronobiol Int 1992; 9: 132–136PubMedCrossRefGoogle Scholar
  7. 7.
    Pilcher JJ, Huffcutt AI: Effects of sleep deprivation on performance: a meta-analysis. Sleep 1996; 19: 318–326PubMedGoogle Scholar
  8. 8.
    Weinger MB, Ancoli-Israel S: Sleep deprivation and clinical performance. JAMA 2002; 287: 955–957PubMedCrossRefGoogle Scholar
  9. 9.
    Markel H: Doctors learn in the long night hours. New York Times. June 2002Google Scholar
  10. 10.
    The Patient and Physician Safety and Protection Act of 2001. 107th Cong, 1st Sess (2001) (HR 3236)Google Scholar
  11. 11.
    Public Citizen: Petition to the Occupational Safety and Health Administration requesting that limits be placed on hours worked by medical residents. Washington, DC, HRG Publication 1570, Apr 30, 2001Google Scholar
  12. 12.
    Essentials of Accredited Residencies in Pediatrics: 1980–81 Directory of Residency Training Programs Accredited by the Liaison Committee on Graduate Medical Education. Chicago, American Medical Association, 1980Google Scholar

Copyright information

© Academic Psychiatry 2005

Authors and Affiliations

  • S. Pirzada Sattar
    • 1
    • 2
    Email author
  • Fatima Basith
    • 1
  • James Madison
    • 1
  • Subhash C. Bhatia
    • 1
    • 2
  1. 1.School of MedicineCreighton UniversityOmahaUSA
  2. 2.VA Medical Center, 116AOmahaUSA

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