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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.
Boodman SG. Kaiser Health News. July 9, 2013.
This news article reports on the clinical, educational, and economic consequences of resident work hour limits.
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.
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.