Profession
Uptick in work-hour violations
■ An occasional snapshot of current facts and trends in medicine.
Quick View. Posted Dec. 11, 2006
More residency programs are cited for work-hour violations, but that could be because officials are looking more closely.
2003-04 | 2004-05 | 2005-06 | |
---|---|---|---|
Totals | |||
Programs reviewed | 2,027 | 2,002 | 2,363 |
Programs cited | 101 | 147 | 187 |
Citations | 135 | 195 | 249 |
Citations by type | |||
Exceeded 80 hours/week | 52 | 31 | 26 |
Exceeded 30-hour call | 27 | 31 | 66 |
Failed to give 1 day out of 7 off | 29 | 31 | 28 |
Failed to meet 10-hour rest | 12 | 19 | 18 |
Failed to count in-house moonlighting | 9 | 16 | 10 |
Inadequate oversight | NA | 9 | 34 |
Call more than every third night | 6 | 7 | 11 |
Other | NA | 51 | 56 |
Accreditation Council for Graduate Medical Education officials said reviewers are looking harder than they did when hours were first capped in 2003. The 30-hour call limit garnered the biggest increase in violations, more than doubling between 2003-04 and 2005-06.
Source: Annual ACGME work-hour data from 2003-06