We appreciate the insightful letter by Yoon and Arora, wherein they describe alternate explanations for the observation that faculty report worsening in residents' professionalism following implementation of duty-hour reform. Approximately half of faculty surveyed in our study believed that internal medicine residents' professionalism has worsened as a result of duty-hour regulations.1 Specifically, faculty reported worsening in residents' accountability to patients and their ability to place patients' needs above self- interests. We speculate that faculty, trained in an era without limits on duty hours, view placing the need of patients above personal needs as a professional obligation. However, in the advent of duty-hour reform, physicians are discovering that professionalism includes attention to personal needs for rest.
Reed DA, Levine RB, Miller RG, Ashar BH, Bass EB, Cofrancesco J. Can Faculty Assess Resident Professionalism With Duty Hours?—Reply. Arch Intern Med. 2008;168(3):331-332. doi:10.1001/archinternmed.2007.99