Navigation Links
Paper by Rhode Island Hospital physician selected among best of 2010 by JACR

PROVIDENCE, R.I. A paper on resident duty hour limits from Rhode Island Hospital has been selected as the best education paper of 2010 by the Journal of the American College of Radiology (JACR). In the paper, lead author Martha Mainiero, M.D., explains the history behind the current resident duty hour requirements, the proposed changes, and the response from national radiology organizations regarding the proposed changes.

Mainiero, the director of the residency program in diagnostic radiology at Rhode Island Hospital, explains that national restrictions were first introduced in 2003 to limit the hours residents could be on duty. At the time, the Accreditation Council for Graduate Medical Education (ACGME) cited increasing acuity and intensity of medical care in teaching institutions, as well as scientific evidence of the negative effect of sleep deprivation on performance, as reasons for instituting restrictions. Those limits were not to exceed 80 hours in a week or more than 24 consecutive hours.

In December 2008, the Institute of Medicine (IOM) issued a report recommending further action be taken to reduce resident fatigue and ensure patient safety within 24 months of the report. In their paper, Mainiero and her colleagues state, "The IOM committee did not recommend a change from the maximum of 80 hours per week, averaged over four weeks, but instead recommends decreasing the maximum length of shifts, increasing the time off between shifts and mandating sleep period during longer shifts."

In response to the ACGME's request for input to the proposed changes, Mainiero and her co-authors summarized the input provided by the American College of Radiology and a number of other radiologic institutions. Mainiero wrote, "Radiology supports the current requirements, but recognizes that there has been inadequate study of the outcomes of the current duty hour regulations and there continue to be issues with compliance with those regulations." Their recommendation was to have more rigorous monitoring of duty hours before implementing new duty hour recommendations

Mainiero also reported that the radiology community found no convincing evidence that the proposed recommendations for further duty hour limits would have a significant impact on reducing resident fatigue. In fact, there is concern that further restricting duty hours may take away from important educational activities that are essential to resident training, but Mainiero and her co-authors recognized that ACGME would have little choice but to take further actions and make additional restrictions to guide the training of residents. Subsequent to the publication of the article, the ACGME did indeed issue further restrictions on resident duty hours, which will take effect in July 2011.

On being recognized as one of the top papers of the year by the JACR, Mainiero says, "We appreciate this recognition from the JACR and hope that it will open the door to further discussions on the important issue of resident duty hour requirements. As an academic medical center, we are committed to teaching the physicians of tomorrow, and we hope the new guidelines will help us be effective in our mission."


Contact: Nancy Cawley Jean

Related medicine news :

1. Cloud Computing Platforms Address Unique M2M Application Needs, According To New SensorLogic White Paper
2. Paper Kills 2.0 Book by Center for Health Transformation Features Chapter by StatCom
3. buySAFE, Inc. Releases a Breakthrough White Paper that is a Must Read for Every Internet Retailer Interested in Increasing Website Conversion
4. SEBM Best Paper Awards for articles published in 2009
5. Stonebranch Publishes Healthcare IT White Paper
6. PCI Compliance and Data Security Requires Private Key Management – New Industry White Paper Explains
7. Centice Corporation Releases a Two Part Whitepaper on its PASS Rx Pharmacy Quality Solution
8. PaperFree Florida to help move physicians towards electronic health records
9. Go Green With Your Curriculum by Choosing A Paperless Option
10. FileHold Document Management Software Helps National Tax Consulting Firm Reduce Paper and Streamline Tax Preparation for Their Clients
11. Wyatt Matas & Associates Releases White Paper on Future Home Healthcare Business Model
Post Your Comments:
Related Image:
Paper by Rhode Island Hospital physician selected among best of 2010 by JACR
(Date:11/27/2015)... Angeles, CA (PRWEB) , ... November 27, 2015 , ... ... conversation at the recent 2015 American Dental Association meeting in Washington D.C. revolved around ... help protect a patient’s overall health. The talk stressed the link between periodontal disease ...
(Date:11/27/2015)... ... 27, 2015 , ... An inventor, from Hopkinsville, Ky., thought ... at home, so he invented the patent-pending ELECTRONIC M.D. , The ELECTRONIC M.D. ... doing so, it could help to prevent potential overdose situations. As a result, ...
(Date:11/27/2015)... ... November 27, 2015 , ... MPWH, the No.1 Herpes-only dating community in the world, revealed ... 1-1 ). More than 3.7 billion people under the age of 50 – or ... to WHO's first global estimates of HSV-1 infection . , "The data shocks us ...
(Date:11/27/2015)... ... November 27, 2015 , ... Keeping ... platform for mental health and wellness consultation, has collaborated with a leading web-based ... the knowledge gap experienced by parents and bring advice from parenting experts within ...
(Date:11/27/2015)... ... November 27, 2015 , ... Indosoft ... announces the incorporation of Asterisk 11 LTS (Long Term Support) into its Q-Suite ... LTS brings Q-Suite 5.10 up-to-date with a version of Asterisk that will receive ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... N.C. , Nov. 25, 2015 ... the planned investment of at least $15.8  Million ... Wilmington, NC . The expansion ... capacity to meet the growing demands of the ... site expansion will provide up to ...
(Date:11/25/2015)... , Nov. 25, 2015  Henry Schein, Inc., the ... to office-based dental, medical and animal health practitioners, will ... the Henry Schein ConnectDental® Pavilion , which brings ... of open solutions designed to help any practice or ... here for a schedule of experts appearing at ...
(Date:11/25/2015)... 25, 2015  Trovagene, Inc. (NASDAQ: TROV ), ... Chief Executive Officer Antonius Schuh, Ph.D., is scheduled to ... Annual Piper Jaffray Healthcare Conference. th ... Palace Hotel in New York ... Mr. Schuh will be available for one-on-one meetings during ...
Breaking Medicine Technology: