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July 1988

Editorial Comment

Author Affiliations

Nashville, Tenn

Arch Otolaryngol Head Neck Surg. 1988;114(7):720-721. doi:10.1001/archotol.1988.01860190024011

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Regulations proposed by the New York State Department of Health, Albany, to change the working hours for interns and junior residents in teaching hospitals will have a negative impact on the training of house staff.

These proposed regulations grew out of a grand jury investigation into the death of Libby Zion, aged 18 years, who died at New York Hospital in March 1984, a few hours after being admitted. The grand jury did not return any indictments against the hospital or their physicians; they did, however, issue five recommendations, one of which called for the New York State Department of Health to limit consecutive working hours for interns and junior residents. This was in response to the claim by Libby Zion's father that a factor contributing to her death was inadequate care given by house staff who were both overworked and undersupervised. Following the grand jury's report, the commissioner of

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