Residency

Tip of the week: Emphasize importance of duty-hour monitoring to residents

Residency Program Insider, April 3, 2012

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Pressure to fabricate duty hours exists. There are plenty of positive and negative reasons your residents may tempt ACGME rules. Residents may:

·         Have a hard time leaving when they think care will be disrupted

·         Be intellectually curious about patients and their medical conditions and want to stay and learn

·         Not want faculty or other residents thinking they are shirking their responsibility by leaving “on time”

·         Feel loyal to the program and don’t want to run the risk of damaging the program’s accreditation in some way

Talk to your residents. Serious legal ramifications and penalties exist if duty hour regulations are not followed. Their hearts might be in the right place, but emphasizing the seriousness of breaking duty hour rules can help them understand the importance of abiding by them.

This week’s tip is from Insider’s Guide to the ACGME Site Visit, Second Edition by Kathryn Andolsek, MD, MPH and Shepard Cohen.

 



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