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Editor's Correspondence
February 11, 2008

Can Faculty Assess Resident Professionalism With Duty Hours?—Reply

Arch Intern Med. 2008;168(3):331-332. doi:10.1001/archinternmed.2007.99

In reply

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.