Long-term Effects of the 2003 ACGME Resident Duty Hour Reform on Hospital Mortality

Published In: Mayo Clinic Proceedings, v. 89, no. 7, Letters to the Editor, July 2014, p. 1023-1025

Posted on RAND.org on July 01, 2014

by Anupam B. Jena, Vinay Prasad, John A. Romley

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In 2003, the Accreditation Council for Graduate Medical Education (ACGME) implemented resident duty hour reform that established a maximum 80-hour workweek among other provisions. Despite an important series of studies that analyzed the reform's short-term impact on mortality in teaching hospitals (2003-2005), long-term studies have been lacking. The long-term effects of reform are important to consider because adherence to duty hour restrictions was limited in the first few years after the transition, and oversight of residents since the transition may have changed.

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