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Physician Work Environment and Well-Being
November 2017

An Appeal for Evidence-Based Resident Duty Hours Reform

Author Affiliations
  • 1Zuckerberg San Francisco General Hospital Primary Care Residency, Department of Medicine, UCSF, San Francisco, California
  • 2Internal Medicine Residency, Department of Medicine, UCSF, San Francisco, California
JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469

Resident duty hour regulations help balance the often conflicting goals of patient safety, trainee education, and physician well-being. Over the past few decades, there have been many changes in duty hour regulations. The Accreditation Council for Graduate Medical Education (ACGME) announced a change effective July, 2017 allowing interns and resident clinicians to work 24-hour shifts. Although an 80-hour per week limit on resident clinicians’ work, averaged over 4 weeks, was maintained, the limit on work shifts for first-year resident clinicians was extended from 16 hours to 24 hours. A limit of 24 hours per shift had already been established for those in the second year of residency and beyond.

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