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- Newspaper/Magazine Article
- Duty Hour Limitation
Hurt J. Med Econ. April 26, 2017.
Hester JL. The Atlantic. October 1, 2015.
Although there is no consensus regarding whether the "July effect" actually exists, it is not hard to imagine the difficulties associated with the first days of practice for a new physician. This magazine article reports on the challenges first-year residents face, including burnout and gaps in practical experience, and describes efforts meant to address this problem, such as duty-hour reform and humanistic curricula in medical schools to help physicians develop their own professional identity.
Ungar L. USA Today. February 1, 2015.
Rosenbaum L. The New Yorker: Elements. August 20, 2013.
This magazine article relates the risks and benefits associated with the 2003 resident work hour limits.
Boodman SG. Kaiser Health News. July 9, 2013.
This news article reports on the clinical, educational, and economic consequences of resident work hour limits.
Chen PW. New York Times. April 18, 2013.
Sanghavi D. New York Times Magazine. August 5, 2011.
This news article discusses the problem of fatigue in resident physicians and the fragmented systems of care that contribute to error.
Leape L, Haskell H. Los Angeles Times. July 01, 2011.
Shapira I. Washington Post. March 18, 2010;B01.
This news piece examines the work week of resident physicians and discusses how further limiting trainees' work hours might reduce their experiential learning.
Kuehn BM. JAMA. 2009;301:259-261.
This article summarizes findings of the recent Institute of Medicine report, which advises against resident work shifts of longer than 16 hours without sleep and recommends better supervision of residents to improve patient safety.
Kowalczyk L. Boston Globe. September 7, 2008;Metro section:1A.
This article reports on violations of ACGME work hour restrictions in some Boston hospitals. Approximately 9% of all training programs in the United States have been cited for such violations in the past year.
Lerner BH. The Washington Post. November 28, 2006:HE01.
The author reviews the legacy of Libby Zion and how her untimely death raised awareness of the impact that resident duty hours and fatigue could have on patient care and quality.
ISMP Medication Safety Alert. June 2, 2005.
This article summarizes the effects of workplace fatigue and provides suggestions for minimizing it.
Kowalczyk L. Boston Globe. September 17, 2005:A1.
This article reports on changes that hospitals are making to curb long work hours for nurses and how such efforts could reduce potential errors.
Revill J. The Observer. May 15, 2005.
This article describes how reduced work hours for physicians in the United Kingdom may be leaving hospitals understaffed at night. Some junior doctors report being asked to perform duties for which they have not been trained.