The American Journal of Medicine
Volume 122, Issue 6 , Pages 587-593 , June 2009

Physician Practice Patterns Resemble ACGME Duty Hours

  • Mamle Anim, MD

      Affiliations

    • Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio
    • Corresponding Author InformationRequests for reprints should be addressed to Mamle Anim, MD, Department of Internal Medicine, Wright State University Boonshoft School of Medicine, 3535 Salem Avenue, Dayton, OH 45406
    • ,
  • Ronald J. Markert, PhD

      Affiliations

    • Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio
    • Department of Orthopedics, Wright State University Boonshoft School of Medicine, Dayton, Ohio
    • ,
  • Virginia C. Wood, MD

      Affiliations

    • Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio
    • ,
  • Barbara L. Schuster, MD

      Affiliations

    • Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio

References 

  1. Accreditation Council for Graduate Medical Education. Statement of Justification/Impact for the Final Approval of Common Standards Related to Resident Duty Hours. Chicago, IL: Accreditation Council for Graduate Medical Education; 2002;
  2. Kohn LT, Corrigan JM, Donaldson MS Committee on Quality of Health Care in America, Institute of Medicine. To Err is Human: Building a Safer Health Care System. Washington, DC: National Academy Press; 2000;
  3. Accreditation Council for Graduate Medical Education. Resident Duty Hour Language Final Requirements. http://www.acgme.org/acwebsite/dutyhours/dh_lang73.pdfAccessed December 2007
  4. American Osteopathic Association. Accreditation Document for Osteopathic Postdoctoral Training Institutions. https://www.do-online.org/pdf/sir_postdoctrainproced.pdfAccessed February 27, 2008
  5. Harrison R, Allen E. Teaching internal medicine residents in the new era: inpatient attending with duty-hour regulations. J Gen Intern Med. 2006;21:447–452
  6. Choi D, Dickey J, Wessel K, Girard DE. The impact of the implementation of work hour requirements on residents' career satisfaction, attitudes and emotions. BMC Med Educ. 2006;6:53
  7. Reed DA, Levine RB, Miller RG, et al. Effect of residency duty-hour limits: views of key clinical faculty. Arch Intern Med. 2007;167:1487–1492
  8. Goiten L, Shanafelt D, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care and education in an internal medicine residency program. Arch Intern Med. 2005;165:2601–2606
  9. Myers JS, Bellini LM, Morris JB, et al. Internal medicine and general surgery residents' attitudes about the ACGME duty hours regulations: a multicenter study. Acad Med. 2006;81:1052–1058
  10. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351(18):1838–1848
  11. Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hour restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. Acad Med. 2006;81:1026–1031
  12. Promecene PA, Schneider KM, Monga M. Work hours for practicing obstetrician-gynecologists: the reality of life after residency. Am J Obstet Gynecol. 2003;189:631–633
  13. Vanderveen K, Chen M, Scherer L. Effects of resident duty-hours restrictions on surgical and nonsurgical teaching faculty. Arch Surg. 2007;142(8):759–766
  14. Croasdale M. Resident work hours may hit attendings. Am Med News. July 7, 2003;
  15. United States Census Bureau. Annual Estimates of the Population of Metropolitan Statistical Areas: April 1, 2000 to July 1, 2007. http://www.census.gov/popest/metro/tables/2007/CBSA-EST2007-01.csvAccessed December 2007
  16. Dayton Area Graduate Medical Education Consortium. DAGMEC Residency & Fellowship Programs. http://dagmec.org/member_organizations_residency_programs.htmAccessed December 12, 2007
  17. Jurkiewicz CL. Generation X and the public employee. Public Pers Manage. 2000;29:55–74
  18. Croasdale M. Faculty physicians say they're burned-out, frustrated. Am Med News. March 13, 2006;
  19. Physician Socioeconomic Statistics 2003: Profiles for Detailed Specialties, Selected States, and Practice Arrangements. In:  Wassenaar JD,  Thran SL editor. Mean hours in patient care activity per week, 1989-2001. Chicago, IL: American Medical Association; 2003;p. 186
  20. Socioeconomic Characteristics of Medical Practice, 1987. In:  Gonzalez ML,  Emmons DW editor. Mean number of hours in patient care activities per week, 1976, 1978-80, 1982-86. Chicago, IL: American Medical Association; 1987;p. 42–43
  21. Shiotani LM, Parkerton PH, Wenger NS, Needleman J. Internal medicine work hours: trends, associations, and implications for the future. Am J Med. 2008;121(1):80–85
  22. Martin BC. Center for Health Services Research and Development, American Medical Association. Don't Survey Physicians! Chicago, IL: American Medical Association; 1974;
  23. Shosteck H, Fairweather WR. Physician response rates to mail and personal interview surveys. Public Opin Q. 1979;43(2):206–217
  24. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among hospitalized Medicare beneficiaries in the first 2 years following the ACGME resident duty hour reform. JAMA. 2007;298:975–983
  25. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298(9):984–992
  26. Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851–857

 Funding was received from the Department of Medicine, Wright State University Boonshoft School of Medicine for stationery and mailing expenses related to the survey.

PII: S0002-9343(09)00204-6

doi: 10.1016/j.amjmed.2009.02.015

The American Journal of Medicine
Volume 122, Issue 6 , Pages 587-593 , June 2009

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