Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety."
Approach to Improving Safety
Setting of Care
The Institute of Medicine's 2008 report Resident Duty Hours: Enhancing Sleep, Supervision, and Safety recommended further changes to housestaff work hours, including reducing shift length and mandating protected sleep time. This position paper from the American College of Surgeons raises the concern that such changes would compromise the education of surgical trainees, resulting in residents lacking the skill and confidence to enter independent practice. The authors argue against further reductions in duty hours, and call for flexibility in the implementation of new regulations in order to preserve trainees' case volume and overall educational experience.