Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations

The Journal of Emergency Medicine
Mary Jo WagnerRobert Muelleman

Abstract

Representatives of emergency medicine (EM) were asked to develop a consensus report that provided a review of the past and potential future effects of duty hour requirements for EM residency training. In addition to the restrictions made in 2003 by the Accreditation Council for Graduate Medical Education, the potential effects of the 2008 Institute of Medicine (IOM) report on resident duty hours were postulated. The elements highlighted include patient safety, resident wellness, and the resident training experience. Many of the changes and recommendations did not affect EM as significantly as other specialties. Current training standards in EM have already emphasized patient safety by requiring continuous onsite supervision of residents. Resident fatigue has been addressed with restrictions of shift lengths and limitation of consecutive days worked. One recommendation from the IOM was a required 5-h rest period for residents on call. Emergency department (ED) patient safety becomes an important concern with the decrease in the availability and in the patient load of a resident consultant that may result from this recommendation. Of greater concern is the already observed slower throughput time for admitted patients waiting for ...Continue Reading

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Citations

Jan 30, 2015·The Journal of Emergency Medicine·Jeffrey R StowellSamuel D Luber
Oct 26, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Judith E TintinalliSergio Rabinovich
Jun 14, 2015·Medical Education Online·Lars J GrimmCharles M Maxfield

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