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May 22, 2013

Duty Hour Reforms in Europe and the United States

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliation: Department of Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands (daniel@holsgrove.net).

JAMA. 2013;309(20):2094-2095. doi:10.1001/jama.2013.4081

To the Editor: The Viewpoint by Dr Axelrod and colleagues1 on the implications of the introduction of the European Working Time Directive on medical care and education highlighted important factors to be considered when reducing the working hours of physicians in training. However, it did not fully appreciate the protracted implementation of the legislation.

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