This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (5)  • Contact me when this article is cited  Related Content  • Related letters  • Related articles  • Similar articles in JAMA  Topic Collections  • Medical Education  • Patient Safety/ Medical Error  • Cardiovascular Disease/ Myocardial Infarction  • Alert me on articles by topic

More Work to Do

David O. Meltzer, MD, PhD; Vineet M. Arora, MD, MA

JAMA. 2007;298(9):1055-1057.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The long work hours of medical residents have received increasing attention in recent years due to concerns about patient safety and the health and education of residents themselves. Although patient safety has been heavily emphasized in the media coverage of duty hour reforms, the evidence that long resident duty hours adversely affect patient outcomes is relatively poor.¹ Indeed, when the Accreditation Council for Graduate Medical Education (ACGME) decided to implement duty hour reforms, some expressed concern that patient care could suffer, emphasizing increased discontinuities of care, or the costs of added staffing needed to provide coverage following duty hour restrictions.^2-3 Such concerns make empirical analyses of the consequences of duty hour restrictions especially important.

The 2 articles by Volpp and colleagues^4-5 in this issue of JAMA are among the first studies to examine changes in patient outcomes following ACGME duty . . . [Full Text of this Article]

Author Affiliations: Departments of Medicine (Drs Meltzer and Arora) and Economics (Dr Meltzer), and Graduate School of Public Policy Studies (Dr Meltzer), University of Chicago, Chicago, Illinois.

RELATED LETTERS

Resident Duty Hour Reform and Mortality in Hospitalized Patients
David Neely
JAMA. 2007;298(24):2865.
EXTRACT | FULL TEXT  

Resident Duty Hour Reform and Mortality in Hospitalized Patients
Bertrand M. Bell
JAMA. 2007;298(24):2865-2866.
EXTRACT | FULL TEXT  

RELATED ARTICLES

Mortality Among Hospitalized Medicare Beneficiaries in the First 2 Years Following ACGME Resident Duty Hour Reform
Kevin G. Volpp, Amy K. Rosen, Paul R. Rosenbaum, Patrick S. Romano, Orit Even-Shoshan, Yanli Wang, Lisa Bellini, Tiffany Behringer, and Jeffrey H. Silber
JAMA. 2007;298(9):975-983.
ABSTRACT | FULL TEXT  

Mortality Among Patients in VA Hospitals in the First 2 Years Following ACGME Resident Duty Hour Reform
Kevin G. Volpp, Amy K. Rosen, Paul R. Rosenbaum, Patrick S. Romano, Orit Even-Shoshan, Anne Canamucio, Lisa Bellini, Tiffany Behringer, and Jeffrey H. Silber
JAMA. 2007;298(9):984-992.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Liability of the Sleep-Deprived Resident
Berlin
Am. J. Roentgenol. 2008;190:845-851.
FULL TEXT  

The Effects of Resident Work-Hour Regulation on Psychiatry
Rabjohn and Yager
Am. J. Psychiatry 2008;165:308-311.
FULL TEXT  

Resident Duty Hour Reform and Mortality in Hospitalized Patients
Neely
JAMA 2007;298:2865-2865.
FULL TEXT  

Resident Duty Hour Reform and Mortality in Hospitalized Patients
Bell
JAMA 2007;298:2865-2866.
FULL TEXT