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Paper by Rhode Island Hospital physician selected among best of 2010 by JACR
Date:2/3/2011

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 t
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Contact: Nancy Cawley Jean
njean@lifespan.org
Lifespan
Source:Eurekalert  

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