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

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 Jul 1, 2014

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

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.

This report is part of the RAND external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.