The American Journal of Surgery
Volume 191, Issue 4 , Pages 527-532 , April 2006

Work-hour restrictions as an ethical dilemma for residents

Presented at the 2005 Surgical Education Week, New York, NY, March 29–April 2, 2005

  • Robert O. Carpenter, M.D.

      Affiliations

    • Department of General Surgery, Vanderbilt University Medical Center, D-4311, Medical Center North, 1161 21st Avenue South, Nashville, TN 37232-2730, USA
    • Department of Preventive Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-615-343-9486; fax: +1-615-343-9485
    • ,
  • Mary T. Austin, M.D.

      Affiliations

    • Department of General Surgery, Vanderbilt University Medical Center, D-4311, Medical Center North, 1161 21st Avenue South, Nashville, TN 37232-2730, USA
    • ,
  • John L. Tarpley, M.D.

      Affiliations

    • Department of General Surgery, Vanderbilt University Medical Center, D-4311, Medical Center North, 1161 21st Avenue South, Nashville, TN 37232-2730, USA
    • ,
  • Marie R. Griffin, M.D., M.P.H.

      Affiliations

    • Department of Preventive Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
    • ,
  • Kimberly D. Lomis, M.D.

      Affiliations

    • Department of General Surgery, Vanderbilt University Medical Center, D-4311, Medical Center North, 1161 21st Avenue South, Nashville, TN 37232-2730, USA

Received 12 April 2005 ,Revised 5 January 2006

References 

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  22. Poulose BK , Ray WA , Arbogast PG , et al.   Resident work hour limits and patient safety . Ann Surg . 2005;241:847–856 discussion 856–60
  23. Laine C , Goldman L , Soukup JR , Hayes JG . The impact of a regulation restricting medical house staff working hours on the quality of patient care . JAMA . 1993;269:374–378
  24. Howard DL , Silber JH , Jobes DR , et al.   Do regulations limiting residents’ work hours affect patient mortality? . J Gen Intern Med . 2004;19:1–7
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  27. Petersdorf R . The pathogenesis of fraud in medical science . Ann Intern Med . 1986;104:252–254
  28. Fischer JE . Continuity of care (a casualty of the 80-hour work week) . Acad Med . 2004;79:381–383
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 Supported in part by a grant from the Agency for Healthcare Research and Quality (T32 HS 13833) through the Vanderbilt Department of Preventive Medicine.

PII: S0002-9610(06)00005-5

doi: 10.1016/j.amjsurg.2006.01.002

The American Journal of Surgery
Volume 191, Issue 4 , Pages 527-532 , April 2006

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