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PROFESSIONAL ISSUES

Resident work-hour violations are up

Quick View. April 21, 2008.


The Accreditation Council for Graduate Medical Education says the rise is due to improved consistency in tracking violations, not an increase in the number.


2003-04 2004-05 2005-06 2006-07
Programs
Reviewed 2,027 2,002 2,363 2,589
Cited 101
(5.0%)
147
(7.3%)
187
(7.9%)
227
(8.8%)
Citations
Exceeded 80 hours a week 52 31 26 32
Exceeded 30-hour call limit 27 31 66 59
Failed to give one day in seven off 29 31 28 31
Failed to meet 10-hour rest 12 19 18 24
Failed to count in-house moonlighting 9 16 10 19
Inadequate oversight 0 9 34 23
Call more than every third night 6 7 11 3
Other 0 51 56 67
Total 135 195 249 258

The ACGME adopted work-hour limits four years ago to improve patient and resident safety. The latest data show an increase in duty-hour violations.

Source: Accreditation Council for Graduate Medical Education

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