Navigation Links
ACGME board approves final duty hour and supervision standards for resident education
Date:9/29/2010

CHICAGO, September 28, 2010 -- The Accreditation Council for Graduate Medical Education (ACGME) Board of Directors has approved a set of requirements that are a comprehensive approach to patient care, quality improvement, supervision, professionalism, transitions in care, and resident well-being. Included are graduated standards for duty hours for the nation's 111,000 residents training in ACGME accredited teaching institutions. The new standards will go into effect in July 2011.

The requirements for doctors-in-training are a comprehensive package of interrelated standards designed to better match residents' levels of experience and emerging competencies, advancing both graduate medical education and safe quality patient care in the nation's teaching hospitals.

A 16-member ACGME task force represented leading specialists in medical education, patient safety and clinical care including 12 physicians with extensive experience in graduate medical education programs, three residents and a public representative with extensive experience in evaluating health care related issues developed proposed standards for the ACGME Board. The group's co-chairs were E. Stephen Amis, MD, chair of the Council of Review Committees, a group made up of the chairs of the Residency Review Committees that review residency programs in the various specialties, and university chair of the Department of Radiology at Albert Einstein College of Medicine and Montefiore Medical Center in New York, and Susan H. Day, MD, outgoing chair of the ACGME Board of Directors and chair of the Department of Ophthalmology at California Pacific Medical Center, San Francisco.

"These new standards are a cohesive whole," noted Thomas Nasca, MD, MACP, chief executive officer of ACGME and vice chair of the ACGME task force that developed the standards. "Implementing them will require small change in some programs and large changes in others, all with the goals of ensuring patient safety, that the next generations of physicians are well-trained to serve the public and that residents receive their training in a humanistic learning environment."

The standards are based on recommendations made by the Institute of Medicine (IOM) in 2008 and evidence collected during a 16-month review of the scientific literature on sleep issues, patient safety and resident training. The task force heard testimony from more than 100 experts on those topics and received and reviewed statements from 100 medical organizations. The standards retain the current duty hour limit of 80 hours per week, averaged over four weeks, but specify more detailed directives for levels of supervision necessary for a first-year resident (known as a PGY-1). The standards also reduce duty periods of first-year residents to no more than 16 hours a day and set stricter requirements for duty hour exceptions.

Changes include establishing new categories of standards and by setting higher requirements for teamwork, clinical responsibilities, communication, professionalism, personal responsibility and transitions of care. Other items the new requirements address include:

  • establishing graduated requirements for minimum time off between scheduled duty periods;
  • expanding program and institutional requirements regarding handovers of patient care;
  • setting more specific requirements for alertness management and fatigue mitigation strategies designed to ensure both continuity of patient care and resident safety.

The standards were first posted for 45 days of public comment in late June. After the comment period closed, the ACGME task force reviewed and considered comments submitted by more than 1,000 interested parties sharing a range of perspectives. Based on these comments the task force and the ACGME Requirements Committee made modifications in the proposed standards before presenting them to the Board for final approval.

The new standards will be posted on the ACGME website today. The ACGME also commissioned a cost impact analysis of the new standards by the same independent organization which performed the IOM cost analysis. This analysis will be posted on the ACGME website next week.

An Institutional Patient Safety and Quality Assurance review, approved by the ACGME board, is being created that will begin to ensure compliance with these new standards. Under this program, the ACGME will review every institution sponsoring graduate medical education programs, examining their ability to integrate residency education, supervision and fatigue management into their existing patient safety and quality improvement initiatives. An advisory panel comprised of national patient safety experts has been meeting with ACGME to help establish this process.


'/>"/>

Contact: Nancy Brennan
312-755-7050
Accreditation Council for Graduate Medical Education
Source:Eurekalert

Related medicine news :

1. ACGME task force proposes graduated duty hour and supervision standards
2. LearnSomething Brings Phil Keough On Board to Spearhead Retail Products and Services
3. Keenan Chief Strategy Officer Selected to Join Editorial Board of Payers & Providers
4. Connecticut Board Considers Warning About Risk Of Stroke Following Chiropractic Neck Manipulation
5. US21, Inc. is Granted a Wholesale Distributor Permit from the Commonwealth of Virginia Board of Pharmacy
6. Helmets must be part of skiing and snowboarding culture, doctors urge
7. Website for Nursing Jobs Launches -- Streamlined Job Board Created to Address Nursing Shortage
8. Jewish Board of Family and Childrens Services Welcomes New Board President, Tony Mann
9. SciAnswers.com Grows and Adds a Technical and Healthcare Professionals Job Board.
10. Board Certified Renal Specialist, Nina Kolbe, Publishes Second Edition of Kidney Health Gourmet: A Diet Guide and Kidney Friendly Recipes for People Not on Dialysis
11. Bromley Brook Boarding School for Girls Creates Focus Cards to Help Students Regulate Emotions, Solve Problems
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... ... 26, 2016 , ... Intalere, the healthcare industry leader in ... inaugural Member Conference at the Paris Hotel in Las Vegas, Nev., May 17-20, ... America’s healthcare providers. , The conference was highlighted by the announcement of the ...
(Date:5/26/2016)... ... 26, 2016 , ... The Woodlands at John Knox Village , Florida’s ... care for living and healing, celebrated its grand opening, today. The Woodlands at John ... provided by Empowered Staff. , “This is an incredibly fulfilling time for John Knox ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... development solutions for drugs, biologics, consumer health and global clinical supply services, today ... Korea to support the company’s continued investment and strategic growth plans in the ...
(Date:5/26/2016)... ... May 26, 2016 , ... Memorial Day Weekend marks the unofficial ... is sharing tips to make sure your family and vehicle are ready to ... Council, there may be 439 deaths and an additional 50,500 serious injuries from motor ...
(Date:5/26/2016)... ... 26, 2016 , ... North Cypress Medical Center hosted its 9th ... Cypress. With the help of community partners, the event organizers raised $45,000 for the ... wounded service members and their families through health, wellness, and therapeutic support. , ...
Breaking Medicine News(10 mins):
(Date:5/26/2016)... 2016 TARE (Transarterial Radio-embolization) ... Savings and Overall Decreased Use of Hospital ... international specialist healthcare company, has today announced the ... Meeting of ISPOR (International Society for Pharmacoeconomics and ... (HCC) using yttrium-90 glass microspheres is associated with ...
(Date:5/26/2016)... WELLESLEY, Massachusetts , May 26, 2016 ... sequencing (NGS) has matured into an essential life science ... research and development applications. BCC Research reveals in its ... of a second growth phase, one powered by a ... applied fields.      (Logo: http://photos.prnewswire.com/prnh/20140723/694805 ...
(Date:5/25/2016)... 25, 2016 According to a ... (3D, 2D, 4D), by Therapeutic Area (Oncology, Cosmeceutical/Plastic Surgery), ... (Medical Device Manufacturers, Hospitals/ Clinics) - Forecast to 2021", ... Animation Market for the forecast period of 2016 to ... Million by 2021 from USD 117.3 Million in 2016, ...
Breaking Medicine Technology: