In 2003 and 2011, the Accreditation Council for Graduate Medical Education (ACGME) placed limits on resident duty hours, but on March 10, 2017, the ACGME issued a national policy change repealing some of these duty hour restrictions, in addition to other changes to protect resident well-being. What is notable here is that the policy change was triggered in part by high-level evidence from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial,1 a national prospective cluster-randomized trial. These new policy changes go into effect July 1, 2017, and are a reversal in direction for the ACGME with respect to duty hours.
Bilimoria KY, Hoyt DB, Lewis F. Perspective of the FIRST Trial Investigators on Accreditation Council for Graduate Medical Education Changes in Resident Work Environment and Duty Hours. JAMA Surg. Published online July 05, 2017. doi:10.1001/jamasurg.2017.2218