Abstract
Objective
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.
Methods
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.
Conclusion
Further interpretation of the new guidelines is needed.
Similar content being viewed by others
References
Report of the ACGME Work Group on Resident Duty Hours. Chicago, Accreditation Council for Graduate Medical Education, 2002
Lamberg L: Long hours, little sleep: bad medicine for physicians-in-training? JAMA 2002; 287: 303–305
Philibert I, Friedmann P, Williams WT: New requirements for resident duty hours. JAMA 2003; 288: 1112–1114
Leung L, Becker CE: Sleep-deprivation and house staff performance: update 1984–1991. J Occup Environ Med 1992; 34: 1153–1160
Samkoff JS, Jacques CHM: A review of studies concerning effects of sleep-deprivation and fatigue on residents’ performance. Acad Med 1991; 66: 687–693
Koslowsky M, Babkoff H: Meta-analysis of the relationship between total sleep deprivation and performance. Chronobiol Int 1992; 9: 132–136
Pilcher JJ, Huffcutt AI: Effects of sleep deprivation on performance: a meta-analysis. Sleep 1996; 19: 318–326
Weinger MB, Ancoli-Israel S: Sleep deprivation and clinical performance. JAMA 2002; 287: 955–957
Markel H: Doctors learn in the long night hours. New York Times. June 2002
The Patient and Physician Safety and Protection Act of 2001. 107th Cong, 1st Sess (2001) (HR 3236)
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, 2001
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, 1980
Author information
Authors and Affiliations
Corresponding author
Additional information
This study was supported in part by the Department of Veterans Affairs and the Robert Wood Johnson Foundation Program for Developing Leadership in Reducing Substance Abuse.
Rights and permissions
About this article
Cite this article
Sattar, S.P., Basith, F., Madison, J. et al. New ACGME Work-Hour Guidelines and Their Impact on Current Residency Training Practices. Acad Psychiatry 29, 279–282 (2005). https://doi.org/10.1176/appi.ap.29.3.279
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1176/appi.ap.29.3.279