Resident Duty Hours in American Neurosurgery

William A. Friedman, Edward R. Laws, Kim Burchiel, Mitchel S. Berger, Robert G. Grossman, Charles J. Hodge

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

THE UNEXPECTED DEATH of Libby Zion, at New York Hospital in 1984, led to a series of investigations that recently resulted in profound changes in resident duty hours. On July 1, 2003, the Accreditation Council for Graduate Medical Education (the governing body of all residency programs in the United States) mandated the following work hours rules: no more than 80 hours per week, no more than 24 hours of continuous patient care (with an added 6-hour transition period), 1 day in 7 free of patient care responsibilities, and a minimum of 10 rest hours between duty periods. These rules are based on a considerable body of scientific study indicating that sleep loss affects cognitive performance and, possibly, patient care. The new work hours have stimulated vigorous debate, both pro and con. Those arguments are reviewed.

Original languageEnglish (US)
Pages (from-to)925-933
Number of pages9
JournalNeurosurgery
Volume54
Issue number4
StatePublished - Apr 2004
Externally publishedYes

Fingerprint

Neurosurgery
Patient Care
Graduate Medical Education
Accreditation
Internship and Residency
Sleep

Keywords

  • Duty hours
  • Education
  • Residency

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Friedman, W. A., Laws, E. R., Burchiel, K., Berger, M. S., Grossman, R. G., & Hodge, C. J. (2004). Resident Duty Hours in American Neurosurgery. Neurosurgery, 54(4), 925-933.

Resident Duty Hours in American Neurosurgery. / Friedman, William A.; Laws, Edward R.; Burchiel, Kim; Berger, Mitchel S.; Grossman, Robert G.; Hodge, Charles J.

In: Neurosurgery, Vol. 54, No. 4, 04.2004, p. 925-933.

Research output: Contribution to journalArticle

Friedman, WA, Laws, ER, Burchiel, K, Berger, MS, Grossman, RG & Hodge, CJ 2004, 'Resident Duty Hours in American Neurosurgery', Neurosurgery, vol. 54, no. 4, pp. 925-933.
Friedman WA, Laws ER, Burchiel K, Berger MS, Grossman RG, Hodge CJ. Resident Duty Hours in American Neurosurgery. Neurosurgery. 2004 Apr;54(4):925-933.
Friedman, William A. ; Laws, Edward R. ; Burchiel, Kim ; Berger, Mitchel S. ; Grossman, Robert G. ; Hodge, Charles J. / Resident Duty Hours in American Neurosurgery. In: Neurosurgery. 2004 ; Vol. 54, No. 4. pp. 925-933.
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