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Invited Critique
May 2013

The Accreditation Council for Graduate Medical Education Duty Hour Regulations: How Do We Make the Best of an Unpopular Situation in Training the Surgeons of Tomorrow?

Author Affiliations

Author Affiliations: Division of General Surgery, Hartford Hospital, Hartford, Connecticut, and Integrated General Surgery Residency Program, Department of Surgery, University of Connecticut School of Medicine, Farmington.

JAMA Surg. 2013;148(5):433-434. doi:10.1001/jamasurg.2013.372

In 2003, the Accreditation Council for Graduate Medical Education (ACGME) established the hour limits for postgraduate residency training programs based on an 80-hour work week, 1 day off in 7, a maximum shift length of 24 hours with 6 hours of care continuity, and overnight call coverage no more frequent than every third night.1,2 In 2011, the ACGME further restricted duty hours, with interns limited to 16-hour duty shifts, coupled with tighter junior resident supervision rules and further reduction of duty continuity to 4 hours (after a shift length of 24 hours).2