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PROFESSIONAL ISSUESAMA meeting: Resident work hours stir passionate debateTestimony from both sides ends with no changes to work hour limits, but the AMA will support making it easier to report violations.By Emily Berry, AMNews staff. July 7, 2008.
Chicago -- Spontaneous applause from delegates followed testimony both in support of and opposition to further limits on resident work hours. But neither side won the endorsement of the AMAHouse of Delegates. Instead, the AMA will encourage the Accreditation Council for Graduate Medical Education to continue studying the issue.
Delegates did agree that reporting work hour violations should not pose a threat to doctors' careers or training. The house approved a resolution encouraging the ACGME and American Osteopathic Assn. to "reduce barriers" to reporting violations. However, some delegates testified before the AMA's Committee on Medical Education that the 80-hour weekly limit is hurting patients and doctors. "We're very concerned with the culture we're creating," said Don Swikert, MD, a delegate and family physician from Edgewood, Ky. Krystal Tomei, MD, a neurosurgery resident from Jersey City, N.J., in testimony before the committee and the full house, expressed concern that any further reductions to work hours would leave her and younger students unprepared. "I knew what I was getting into."
ADDITIONAL INFORMATION:Meeting notes: Medical educationIssue: There are no standards to define pain medicine specialists. Proposed action: Encourage interested parties to join to define scope of practice and define appropriate credentialing of pain specialists. [ Adopted ] Issue: There remains a disparity in pay and advancement opportunities between female and male physicians. Proposed action: Encourage specialty and state societies to find solutions to gender disparity, support doctors in balancing work and life, train women physicians in leadership and contract negotiations, and publicize best practices. [ Adopted ] Issue: Some residency programs will not accept graduates of international medical schools. Proposed action: Ask the Accreditation Council for Graduate Medical Education to make IMG status a prohibited discrimination. [ Adopted ] Issue: Residency programs vary in leave time and whether time off results in repeating training. Copyright 2008 American Medical Association. All rights reserved.
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