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ACGME task force proposes graduated duty hour and supervision standards
Date:6/23/2010

CHICAGOJune 23, 2010 -- The Accreditation Council for Graduate Medical Education (ACGME) task force charged with reassessing resident training program standards today presented a comprehensive set of draft standards that revise requirements for supervision and duty hours to better match residents' levels of experience and emerging competencies, advancing both graduate medical education and quality patient care in the nation's teaching hospitals.

Summarized in an article published in the June 23 online edition of the "New England Journal of Medicine," the draft standards build on the recommendations made by the Institute of Medicine (IOM) in 2008. While proposing that the recommended maximum weekly work hours stay the same as the ACGME's current standard of 80 hours per week averaged over four weeks as per the IOM's recommendations the draft standards do propose significant changes to resident training. The draft requirements would:

  • specify more detailed directives for levels of supervision necessary for a first-year resident (known as a PGY-1) vs. more experienced residents;
  • reduce duty periods of first-year residents to no more than 16 hours a day;
  • set stricter requirements for duty hour exceptions.

"Patient safety and an excellent, humanistic learning environment are the ACGME's twin prime objectives. The more closely the task force examined these related issues, the clearer it became that they were influenced by much more than just duty hours," said Thomas Nasca, M.D., M.A.C.P., chief executive officer of ACGME and vice chair of the task force. "And we recognized that a 'one size fits all' set of standards didn't make sense."

The proposed standards also establish new categories of standards and set requirements for teamwork, clinical responsibilities, communication, professionalism, personal responsibility and transitions of care. Among the new requirements, the draft standards would:'/>"/>

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

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