The American Journal of Surgery
Volume 197, Issue 6 , Pages 820-825 , June 2009

Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions

  • Michael Payette, M.D., M.B.A.

      Affiliations

    • School of Medicine, University of Connecticut, Farmington, CT, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-860-978-5220; fax: +1-860-679-1267
    • ,
  • Abhishek Chatterjee, M.D., M.B.A.

      Affiliations

    • Dartmouth Hitchcock Medical Center, Lebanon, NH, USA
    • ,
  • William B. Weeks, M.D., M.B.A.

      Affiliations

    • VA Outcomes Group REAP, WRJ VAMC, White River Junction, VT, USA and Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA

Received 9 March 2008 ,Revised 2 May 2008

References 

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  2. Weeks WB, Bagian JP. Developing a culture of safety in the Veterans Health Administration. Eff Clin Pract. 2000;3:270–276
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  5. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351:1838–1848
  6. Lieberman JD, Olenwine JA, Finley W, et al. Residency reform: Anticipated effects of ACGME guidelines on general surgery and internal medicine residency programs. Curr Surg. 2005;62:231–236
  7. Nuckols TK, Escarce JJ. Residency work-hours reform: A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20:873–878
  8. Keep Awake!. National Aeronautics and Space Administration; 2001;http://www.nasaexplores.nasa.gov/show2_articlea.php?id=01-039)Accessed: October 16, 2007
  9. Pilot flight time and rest: fact sheet. Federal Aviation Administration; 2006;http://www.faa.gov/news/fact_sheets/news_story.cfm?newsId=6762Accessed January 22, 2008
  10. Pilot age and performance: An annotated bibliography; 1990–99. Civil Aeromedical Institute (Federal Aviation Administration). http://www.faa.gov/library/reports/medical/age60/media/age60_1.pdf)Accessed: January 22, 2008
  11. Federal Aviation Regulations. Electronic Code of Federal Regulations (Federal Aviation Administration). http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?&c=ecfr&sid=3efaad1b0a259d4e48f1150a34d1aa77&rgn=div5&view=text&node=14:2.0.1.3.10&idrio=14#PartTopAccessed: October 5, 2007
  12. Preventing pilot fatigue: Fundamental principles (Air Line Pilots' Association). http://cf.alpa.org/internet/projects/ftdt/principles/fund_prin.html)Accessed: October 2, 2007
  13. Duty hours language. Accreditation Council for Graduate Medical Education; 2007;http://www.acgme.org/acWebsite/dutyHours/dh_Lang703.pdf)Accessed: October 10, 2007
  14. Yoon HH. Adapting to duty-hour limits—Four years on. N Engl J Med. 2007;356:2668–2670
  15. Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform. JAMA. 2007;298:975–983
  16. Petersen LA, Brennan TA, O'Neil AC, et al. Does house staff discontinuity of care increase the risk for preventable adverse events?. Ann Intern Med. 1994;121:866–872
  17. Wilber DQ. FAA to raise retirement age for pilots: after battle, cutoff to change from 60–65 within two years. Washington Post. January 31, 2007;
  18. Pasko T, Seidman B. Physician Characteristics and Distribution in the US, 2002–2003 Edition. Chicago, IL: American Medical Association; 2002;
  19. AAMC survey of housestaff stipends, benefits and funding. Washington, DC: Association of American Medical Colleges; 2001;
  20. Wassenaar JD, Thran SL. Physician Socioeconomic Statistics, 2003 Edition. Chicago, IL: American Medical Association; 2003;
  21. Dimick JB, Weeks WB, Karia RJ, et al. Who pays for poor surgical quality? (Building a business case for quality improvement). J Am Coll Surg. 2006;202:933–937
  22. Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. 2003;290:1868–1874
  23. Mitchell CC, Ashley SW, Zinner MJ, et al. Predicting future staffing needs at teaching hospitals: Use of an analytical program with multiple variables. Arch Surg. 2007;142:329–334
  24. Aerospace medical certification subsystem (AMCS). http://www.faa.gov/other_visit/aviation_industry/designees_delegations/designee_types/ame/amcs/)Accessed October 31, 2007

PII: S0002-9610(08)00615-6

doi: 10.1016/j.amjsurg.2008.05.013

The American Journal of Surgery
Volume 197, Issue 6 , Pages 820-825 , June 2009

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