The Accreditation Council for Graduate Medical Education (ACGME) approved a new set of resident duty hour
restrictions to be implemented by July 1, 2011.
articleid=1672284#AuthorInformation) In a paper published Monday in JAMA Internal Medicine, a team of researchers led by University of Michigan Medical School scientists compared the performance of more than 2,300 first-year medical residents that served at 51 different residency programs before and after the new duty hour
requirements went into effect.
Aside from the potential funding cuts to graduate medical education that are currently hanging in the balance, new regulations have challenged programs to find the best ways to cope with resident duty hour
rules first enacted across the country in 2003.
Many academic programs began focusing on meeting the duty hour
restrictions, perhaps at the expense of education.
The council's "common duty hour
standards" call for a 24-hour limit on continuous duty, with an additional 6 hours allowed for continuity and the transfer of care, as well as an 80-hour weekly limit averaged over 4 weeks.
Students should complete courses during nonduty hours unless supervisor approval allows for duty hour
The council said it has issued citations to individual programs for duty hour
violations and has done resident surveys that demonstrate a compliance rate of 94%.
Impact of duty hour
limits on resident training in otolaryngology.
Nicholas Smedira, Co-Director of the Cardiothoracic Surgery Residency Program at The Cleveland Clinic commented, "As a teaching hospital, The Cleveland Clinic seeks to comply with the resident duty hour
guidelines of the Accreditation Council for Graduate Medical Education.
These are the least experienced and most vulnerable physicians in training, and the task force saw a need to make the most significant changes in the supervision and duty hour
standards for this group," he observed.
According to reports, four security guards of Guddu Power House were killed and nine others injured during their duty hour
, by an unidentified attackers on a motorcycle and car, while three people of Bugti family died in result of landmine blast, near Tangwani village of Kandhkot-Kashmore district.
Neurosurgical practice is unique and duty hour
standards must reflect this fact.