Author Affiliations: Center for Health Equity Research and Promotion, Veterans Administration Hospital, Philadelphia, and Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia (Dr Volpp); and Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts (Dr Landrigan).
In 2003, passage of the Accreditation Council for Graduate Medical Education (ACGME) work hour standards marked the first time that work hours for physicians in training were regulated throughout the United States. Five years later, the medical profession stands at a critical juncture. At the request of Congress, the Agency for Healthcare Research and Quality has sponsored an Institute of Medicine committee to review the evidence on the relationship between residents' work hours and patient safety and to develop recommendations for improvement.1
Volpp KG, Landrigan CP. Building Physician Work Hour Regulations From First Principles and Best Evidence. JAMA. 2008;300(10):1197-1199. doi:10.1001/jama.300.10.1197