Invited Critique
May 2013

The Accreditation Council for Graduate Medical Education Duty Hour RegulationsHow Do We Make the Best of an Unpopular Situation in Training the Surgeons of Tomorrow?

Author Affiliations

Author Affiliations: Division of General Surgery, Hartford Hospital, Hartford, Connecticut, and Integrated General Surgery Residency Program, Department of Surgery, University of Connecticut School of Medicine, Farmington.

JAMA Surg. 2013;148(5):433-434. doi:10.1001/jamasurg.2013.372

In 2003, the Accreditation Council for Graduate Medical Education (ACGME) established the hour limits for postgraduate residency training programs based on an 80-hour work week, 1 day off in 7, a maximum shift length of 24 hours with 6 hours of care continuity, and overnight call coverage no more frequent than every third night.1,2 In 2011, the ACGME further restricted duty hours, with interns limited to 16-hour duty shifts, coupled with tighter junior resident supervision rules and further reduction of duty continuity to 4 hours (after a shift length of 24 hours).2

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