The American Journal of Medicine
Volume 123, Issue 3 , Pages 286-290 , March 2010

Measuring Resident Hours by Tracking Interactions with the Computerized Record

  • Daniel Shine, MD

      Affiliations

    • Department of Medicine, New York University Langone Medical Center, New York, NY
    • Corresponding Author InformationReprint requests should be addressed to Daniel Shine, MD, TCH 1626, New York University Langone Medical Center, 550 First Avenue, New York, NY 10016
    • ,
  • Ellen Pearlman, MD

      Affiliations

    • Department of Medicine, New York University Langone Medical Center, New York, NY
    • ,
  • Brendan Watkins, BA

      Affiliations

    • Medical Center Information Technology, New York University Langone Medical Center, New York, NY

References 

  1. NY Comp. Codes R. & Regs. Section 405.4.2002.
  2. Public Citizen Health Research Group. Medical residents; work hours. New York: Public Citizen; 2003;www.citizen.org/hrg/healthcare/articles.cfm?ID=6666Accessed July 2, 2009
  3. American Medical Student Association. The Resident Work Hour Issue. www.amsa.org/rwh/index.cfmAccessed July 2, 2009
  4. Committee of Interns and Residents. www.cirseiu.org/assets/Accessed July 2, 2009
  5. Philibert I, Friedmann P, Williams WT. New requirements for resident duty hours (ACGME. Work Group on Resident Duty Hours). JAMA. 2002;288:1112–1114
  6. Accreditation Council for Graduate Medical Education. Innovative Approaches for Resident Duty Hours. http://www.acgme.org/acWebsite/dutyHours/dh_innovative.aspAccessed July 6, 2009
  7. Institute of Medicine. http://www.iom.edu/CMS/3809/48553/60449.aspxAccessed July 6, 2009
  8. Council Directive 93/104/EC. Official Journal of the European Community. 1993;L307:18–24
  9. Denisco RA, Drummond JN, Gravenstein JS. The effect of fatigue on the performance of a simulated anesthetic monitoring task. J Clin Monit. 1987;3:22–24
  10. Barger LK, Cade BE, Ayas NT, et al. Extended works shifts and the risk of motor vehicle crashes among interns. N Engl J Med. 2005;352:125–134
  11. Ayas NT, Barger LK, Cade BE, et al. Extended work duration and the risk of self reported percutaneous injuries in interns. JAMA. 2006;296:1055–1062
  12. Arora VM, Georgitis E, Siddique J, et al. Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. JAMA. 2008;300:1146–1153
  13. Friesen LD, Vidyarthi AR, Baron RB, Katz PP. Factors associated with intern fatigue. J Gen Intern Med. 2008;23:1981–1986
  14. Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141:851–857
  15. Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education duty hour limits on sleep, work hours, and safety. Pediatrics. 2008;122:250–258
  16. 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;298:984–992
  17. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298:975–983
  18. Shetty KD, Battacharya J. Changes in hospital mortality associated with residency work-hour regulations. Ann Intern Med. 2007;147:73–80
  19. Saunders DL, Kehoe KC, Rinehart VH, Berg BW. Self-reporting of internal medicine housestaff work hours. Hawaii Med J. 2005;64:14–16
  20. Accreditation Council for Graduate Medical Education. Internal Medicine Program Requirements. http://www.acgme.org/acWebsite/RRC_140/140_prIndex.aspAccessed July 6, 2009

 Funding: None.

 Conflict of Interest: None of the authors have any conflicts of interest associated with the work presented in this manuscript.

 Authorship: All authors had access to the data and played a role in writing this manuscript.

PII: S0002-9343(09)01064-X

doi: 10.1016/j.amjmed.2009.10.009

The American Journal of Medicine
Volume 123, Issue 3 , Pages 286-290 , March 2010

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