This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Paul Friedmann, MD
Tufts University School of Medicine Boston, Mass

Ward O. Griffen, Jr, MD, PhD
Temple University School of Medicine Philadelphia, Pa

JAMA. 1993;269(23):2987.

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

To the Editor.

—The article entitled "The Impact of a Regulation Restricting Medical House Staff Working Hours on the Quality of Patient Care" by Laine et al¹ is an important contribution to the debate on the effect of reduction of working hours for residents in graduate medical education programs. Laine et al clearly recognize the limitations in the study they performed to evaluate patient care before and after Code 405. Despite these limitations, they did show that there was a significant difference in the delay in obtaining tests on patients and on in-hospital complications. The conclusions of Laine et al tend to corroborate the concerns expressed by surgical educators, namely, that arbitrary reductions in working hours could lead to compromise of patient care. We in surgical education have stressed the necessity of continuity of care and have been concerned that the quality of patient care can suffer because the . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?