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June 2012

Duty Hours, Distant Voices, and an Alternative Future

Arch Surg. 2012;147(6):496-497. doi:10.1001/archsurg.2012.469

In their comparative analysis of surgical interns and program directors, Antiel and colleagues1 provide an important window into the anticipated impact of duty-hour regulations on resident education and patient care. Since the late 1990s (and particularly since 2003), more than 200 publications (studies, review articles, commentaries, and editorials) have sought to dissect what is arguably the most profound structural change to graduate medical education (GME) in the history of medical education (ISI Web of Science literature review, topic search = duty hours or topic search = work hours and topic search = medicine, January 3, 2012).