Implementing Resident Work Hour Limitations: Lessons from the New York State Experience

Annals of Surgery

Volumn 237, Issue 4, 2003, Pages 449-455

  Whang, Edward E ^a   Mello, Michelle M ^b   Ashley, Stanley W ^a   Zinner, Michael J ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; COMMUNITY HOSPITAL; CONTROLLED STUDY; CURRICULUM; FEMALE; GENERAL SURGERY; GOOD CLINICAL PRACTICE; HEALTH CARE QUALITY; HUMAN; MALE; NORMAL HUMAN; PATIENT CARE; PERCEPTION; POLICY; PRIORITY JOURNAL; QUALITY OF LIFE; RESIDENCY EDUCATION; RESIDENT; REVIEW; UNITED STATES; WORK SCHEDULE; WORKLOAD; ARTICLE; MEDICAL EDUCATION; PRACTICE GUIDELINE; QUESTIONNAIRE; STATISTICS; TIME;

ADULT; FEMALE; GUIDELINE ADHERENCE; HUMANS; INTERNSHIP AND RESIDENCY; MALE; NEW YORK; QUALITY OF HEALTH CARE; QUALITY OF LIFE; QUESTIONNAIRES; TIME FACTORS; WORKLOAD;

EID: 0037975623     PISSN: 00034932     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000658-200304000-00001     Document Type: Review

References (26)

1. Accreditation Council for Graduate Medical Education. Report of the ACGME Work Group on Resident Duty Hours [Accreditation Council for Graduate Medical Education web site]. June 11, 2002. Available at: http://www.acgme.org/new/wkgreport602.pdf. Accessed August 12, 2002.
2. N.Y. Comp. Codes R, Regs. title 10, §405.4 (2002).
3. Asch DA, Parker RM. The Libby Zion case: one step forward or two steps backward? N Engl J Med. 1988;318:771-775.
4. Wallack MK, Chao L. Resident work hours: the evolution of a revolution. Arch Surg. 2001;136:1426-1432.
5. Philibert I, Friedmann P, Williams WT. New requirements for resident duty hours. JAMA. 2002;288:1112-1114.
6. Green M. For Whom the "Bell" Tolls: How Hospitals Violate the "Bell" Regulations Governing Resident Working Conditions. New York: Office of the Public Advocate for the City of New York, 1994.
7. Green M. Putting Patients at Risk: How Hospitals Still Violate the "Bell" Regulations Governing Resident Working Conditions. New York: Office of the Public Advocate for the City of New York, 1997.
8. DeBuono BA, Osten WM. The medical resident workload: the case of New York State. JAMA. 1998;280:1882-1883.
9. McCall T. The impact of long working hours on resident physicians. N Engl J Med. 1988;318:775-778.
10. New York State Department of Health Ad Hoc Advisory Committee on Emergency Services. Supervision and Residents' Working Conditions. New York: Department of Health, 1987.
11. Green MJ. What (if anything) is wrong with residency overwork? Ann Intern Med. 1995;123:512-517.
12. Ruby ST, Allen L, Fielding LP, et al. Survey of residents' attitudes toward reform of work hours. Arch Surg. 1990;125:764-767.
13. Strunk CL, Bailey BJ, Scott BA, et al. Resident work hours and working environment in otolaryngology. Analysis of daily activity and resident perception. JAMA. 1991;266:1371-1374.
14. Defoe DM, Power ML, Holzman GB, et al. Long hours and little sleep: work schedules of residents in obstetrics and gynecology. Obstet Gynecol. 2001;97:1015-1018.
15. Yedidia MJ, Lipkin M Jr, Schwartz MD, et al. Doctors as workers: work-hour regulations and interns' perceptions of responsibility, quality of care, and training. J Gen Intern Med. 1993;8:429-435.
16. Cheng TL. House staff work hours and moonlighting: what do residents want? A survey of pediatric residents in California. Am J Dis Child. 1991;145:1104-1108.
17. Schwartz PI, Dubrow TJ, Rosso RF, et al. Guidelines for surgical residents' working hours: intent vs. reality. Arch Surg. 1992;127:778-783.
18. Conigliaro J, Frishman WH, Lazar EJ, et al. Internal medicine house-staff and attending physician perceptions of the impact of the New York State section 405 regulations on working conditions and supervision of residents in two training program. J Gen Intern Med. 1993;8:502-507.
19. Kelly A, Marks F, Westhoff C, et al. The effect of the New York State restrictions on resident work hours. Obstet Gynecol. 1991;78:468-473.
20. Thorpe KE. House staff supervision and working hours: implications of regulatory change in New York State. JAMA. 1990;263:3177-3181.
21. Laine C, Goldman L, Soukup JR, et al. The impact of a regulation restricting medical house staff working hours on the quality of patient care. JAMA. 1993;269:374-378.
22. Li J, Tabor R, Martinez M. Survey of moonlighting practices and work requirements of emergency medicine residents. Am J Emerg Med. 200;18:147-151.
23. Lawler LP, Fromke J, Evens RG. Results of and comments on the 2000 survey of the American Association of Academic Chief Residents in Radiology. Acad Radiol. 2001;8:777-781.
24. Van Wagenen FK, Weidman ER, Duncan JR, et al. Results of the 1996 survey of the American Association of Academic Chief Residents in Radiology. Acad Radiol. 1997;4:132-137.
25. Zinner MJ. Surgical residencies: Are we still attracting the best and the brightest? Bull Am Coll Surg. 2002;87:20-25.
26. Peterson LA, Brennan TA, O'Neil AC, et al. Does housestaff discontinuity of care increase the risk for preventable adverse events? Ann Intern Med. 1994;121:866-872.