Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety

Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety White Paper (19347) Total Article Views Authors: Blum AB, Shea S, Czeisler CA, Landrigan CP, Leape L Published Date June 2011 Volume 2011:3 Pages 47 - 85 DOI: http://dx.doi.org/10.2147/NSS.S19649 Alexander B Blum1, Sandra Shea2, Charles A Czeisler3,4, Christopher P Landrigan3-5, Lucian Leape6 1Department of Health and Evidence Policy, Mount Sinai School of Medicine, New York, NY, USA; 2Committee of Interns and Residents, SEIU Healthcare Division, Service Employees International Union, New York, NY, USA; 3Harvard Work Hours, Health and Safety Group, Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA; 4Division of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; 5Division of General Pediatrics, Department of Medicine, Children's Hospital Boston, Harvard Medical School, Boston, MA, USA; 6Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA Abstract: Long working hours and sleep deprivation have been a facet of physician training in the US since the advent of the modern residency system. However, the scientific evidence linking fatigue with deficits in human performance, accidents and errors in industries from aeronautics to medicine, nuclear power, and transportation has mounted over the last 40 years. This evidence has also spawned regulations to help ensure public safety across safety-sensitive industries, with the notable exception of medicine. Post to: Cannotea Citeulike Del.icio.us Facebook LinkedIn Twitter Readers of this article also read: Performance in L1 and L2 observed in Arabic-Hebrew bilingual aphasic following brain tumor: A case constitutes double dissociation The cognitive basis of diglossia in Arabic: Evidence from a repetition priming study within and between languages Congenital malformations in Ecuadorian children: urgent need to create a National Registry of Birth Defects Morgellons disease: Analysis of a population with clinically confirmed microscopic subcutaneous fibers of unknown etiology Epigenomics in cancer management Amino acid-responsive Crohn's disease: a case study DataGenno: building a new tool to bridge molecular and clinical genetics Long-term treatment of bipolar disorder with a radioelectric asymmetric conveyor Comparison of two treatments for coxarthrosis: local hyperthermia versus radio electric asymmetrical brain stimulation Radio electric asymmetric brain stimulation in the treatment of behavioral and psychiatric symptoms in Alzheimer disease