Uptick in work-hour violations

Quick View. Dec. 11, 2006.

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More residency programs are cited for work-hour violations, but that could be because officials are looking more closely.

	2003-04	2004-05	2005-06
Totals
Programs reviewed	2,027	2,002	2,363
Programs cited	101	147	187
Citations	135	195	249
Citations by type
Exceeded 80 hours/week	52	31	26
Exceeded 30-hour call	27	31	66
Failed to give 1 day out of 7 off	29	31	28
Failed to meet 10-hour rest	12	19	18
Failed to count in-house moonlighting	9	16	10
Inadequate oversight	NA	9	34
Call more than every third night	6	7	11
Other	NA	51	56

Accreditation Council for Graduate Medical Education officials said reviewers are looking harder than they did when hours were first capped in 2003. The 30-hour call limit garnered the biggest increase in violations, more than doubling between 2003-04 and 2005-06.

Source: Annual ACGME work-hour data from 2003-06

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