Bloomfield et al argue in favor of long hours in medical training and recall a mentor whose careful supervision ensured quality of care. We believe that the suggestion that resident supervision can entirely prevent problems related to overwork is overly optimistic. There is evidence that workload and the structure of residents' work schedule do influence the likelihood of medical errors and the quality of care residents provide.1- 3 It is also important to note that faculty face increasing expectations for outpatient productivity, research, and documentation that threaten the quality of teaching and supervision.
Goitein L, Shanafelt TD, Wipf JE. Resident Hours in the Pursuit of Better Health Care—Reply. Arch Intern Med. 2006;166(13):1424. doi:10.1001/archinte.166.13.1424-a