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COPYRIGHT 2003 International Medical News Group
I strongly believe in the limits on resident work hours set forth in the new guidelines from the Accreditation Council for Graduate Medical Education, which take effect this July, but I strongly oppose micromanagement of resident work hours.
The new ACGME guidelines limit resident work weeks to 80 hours of in-house activity, averaged over 4 weeks, and set limits on shifts, call, and call frequency. The guidelines are well intended, but absolute enforcement of the rules will create hardships for training programs and a shift in values among residents. Unless we are willing to rethink the whole model of training, we'll harm our training programs by applying the new rules too strictly.
I'm concerned based on my firsthand experience with strict work-hour...
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