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Resident work-hour violations are up

An occasional snapshot of current facts and trends in medicine.

Quick View. Posted April 21, 2008

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The Accreditation Council for Graduate Medical Education says the rise is due to improved consistency in tracking violations, not an increase in the number.

2003-04 2004-05 2005-06 2006-07
Programs
Reviewed 2,027 2,002 2,363 2,589
Cited 101
(5.0%)
147
(7.3%)
187
(7.9%)
227
(8.8%)
Citations
Exceeded 80 hours a week 52 31 26 32
Exceeded 30-hour call limit 27 31 66 59
Failed to give one day in seven off 29 31 28 31
Failed to meet 10-hour rest 12 19 18 24
Failed to count in-house moonlighting 9 16 10 19
Inadequate oversight 0 9 34 23
Call more than every third night 6 7 11 3
Other 0 51 56 67
Total 135 195 249 258

The ACGME adopted work-hour limits four years ago to improve patient and resident safety. The latest data show an increase in duty-hour violations.

Source: Accreditation Council for Graduate Medical Education

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