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PROFESSION

Resident work-hour limits to headline education debate

AMA's Council on Medical Education recommends an 84-hour-per-week limit for residents.

By Myrle Croasdale, amednews staff. June 10, 2002.

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A groundswell of concern regarding sleep-deprived medical residents and patient safety has helped move resident work hours to the top of the agenda for the AMA's Council on Medical Education.

The result is a raft of new policy proposals, including a resident work week cap of 84 hours, a maximum of 24 hours of on-call duty and monitoring of residents' moonlighting schedules.

"The AMA has not set specific work hours before. This is definitely a big change [if approved]," said Rebecca Patchin, MD, chair of the AMA's Council on Medical Education "The AMA is a very powerful voice in setting standards, and this would give the Association a policy that could be used to determine legislation, like the Conyers bill," the Patient and Physician Safety and Protection Act introduced in Congress by Rep. John Conyers Jr. (D, Mich.).

The Accreditation Council for Graduate Medical Education is expected to present similar rules when it meets June 10-11, prior to the AMA Annual Meeting.

The council is recommending:

  • Total duty not exceed 84 hours a week, averaged over two weeks.
  • Work days that exceed 12 hours be defined as on-call.
  • Scheduled on-call assignments not exceed 24 hours. Residents may remain on duty for up to 30 hours to complete the transfer of patients' care, but they may not be assigned new patients.
  • On-call duty be no more frequent than every third night, and there must be at least one consecutive 24-hour duty-free period every seven days, averaged over two weeks.
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