{"id":10392,"date":"2017-03-10T22:09:00","date_gmt":"2017-03-10T22:09:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/03\/10\/rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight\/"},"modified":"2017-03-10T22:09:00","modified_gmt":"2017-03-10T22:09:00","slug":"rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight\/","title":{"rendered":"Rookie Doctors Will Soon Be Allowed To Work Up To 28 Hours Straight"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/03\/10\/519662434\/rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight?utm_medium=RSS&amp;utm_campaign=healthcare\">Colin Dwyer<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/03\/10\/519662434\/rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/03\/10\/gettyimages-200022741-001-687d7d76bb91a42a0fbc78fe6778146f1d7b9871-s1100-c15.jpg\" alt=\"Medical worker in scrubs, sitting in a locker room.\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/03\/10\/gettyimages-200022741-001-687d7d76bb91a42a0fbc78fe6778146f1d7b9871-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div><\/div>\n<\/div>\n<p><span><\/p>\n<p>        Jonathan Kirn\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>The maximum workday for first-year medical residents just got substantially longer. The group that sets rules for training doctors announced Friday it will be scrapping the 16-hour cap on shifts worked by doctors who have just graduated from medical school.<\/p>\n<p>As of July 1, the Accreditation Council for Graduate Medical Education will allow these first-year residents, also known as interns, to work 24 hours without a break \u2014 and sometimes as long as 28, if a particular transition between doctors demands it.<\/p>\n<p>The ACGME is discarding a requirement that was implemented in 2011, arguing that the 16-hour cap simply did not deliver on its promises \u2014 and caused some new problems to boot.<\/p>\n<p><!-- END ID=\"RES519668965\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;The Task Force [review panel] has determined that the hypothesized benefits associated with the changes made to first-year resident scheduled hours in 2011 have not been realized,&#8221; the ACGME <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/acgmecommon.org\/announcement\">notes in its announcement<\/a> of the rule changes, &#8220;and the disruption of team-based care and supervisory systems has had a significant negative impact on the professional education of the first-year resident, and effectiveness of care delivery of the team as a whole.&#8221;<\/p>\n<p>For instance, task force member Dr. Anai Kothari <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.forbes.com\/sites\/brucejapsen\/2017\/03\/10\/medical-residents-can-work-24-hours-straight-accreditor-says\/2\/#2ebb0098245a\">tells Forbes<\/a> the cap would occasionally prevent doctors from seeing a treatment or surgery through from beginning to end. Patients want to know &#8220;you are the doctor taking care of them,&#8221; Kothari says.<\/p>\n<p>&#8220;The long shifts are infrequent, but they are important when needed.&#8221;<\/p>\n<p>The group says its conclusion is based on &#8220;over 4,200 hours formulating the new requirements, including systematically reviewing over 1,000 published articles and extensive input from all stakeholders.&#8221;<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/11\/04\/500554058\/medical-interns-could-work-longer-without-a-break-under-new-rule\">As NPR&#8217;s Rob Stein reported<\/a> when the rule change was proposed in November 2016, the move has its fair share of critics.<\/p>\n<p><!-- END ID=\"RES519662508\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;Study after study shows that sleep-deprived resident physicians are a danger to themselves, their patients and the public,&#8221; Dr. Michael Carome, director of Public Citizen&#8217;s Health Research Group, told Rob. &#8220;It&#8217;s disheartening to see the ACGME cave to pressure from organized medicine and let their misguided wishes trump public health.&#8221;<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/hosted.ap.org\/dynamic\/stories\/U\/US_MED_NEW_DOCS_LONG_HOURS_MAOL-?SITE=AP&amp;SECTION=HOME&amp;TEMPLATE=DEFAULT\">The Associated Press notes<\/a> the American Medical Student Association and the Committee of Interns and Residents also oppose the change.<\/p>\n<p>The long shifts are &#8220;based on a patriarchal hazing system,&#8221; first-year resident Samantha Harrington tells the wire service. She says the underlying message from longtime physicians is: &#8220;I went through it, so therefore you have to go through it too.&#8221;<\/p>\n<p>&#8220;The question of work hour standards appropriately provokes great emotion in both the graduate medical education community and among segments of the general public,&#8221; the ACGME acknowledges in its Friday announcement.<\/p>\n<p>But &#8220;it is important to note that 24 hours is a ceiling, not a floor,&#8221; the group adds. &#8220;Residents in many specialties may never experience a 24-hour clinical work period.&#8221;<\/p>\n<p>While the ACGME is relaxing its restrictions on interns&#8217; shifts, it is maintaining previous regulations in other areas. Residents and fellows still cannot work more than 80 hours in a single week, and they must have at least one day off from clinical experience or education in any seven-day span.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/03\/10\/519662434\/rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Rookie Doctors Will Soon Be Allowed To Work Up To 28 Hours Straight\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/03\/10\/519662434\/rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/thetwo-way\/2017\/03\/10\/519662434\/rookie-doctors-will-soon-be-allowed-to-work-up-to-28-hours-straight?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/03\/10\/gettyimages-200022741-001-687d7d76bb91a42a0fbc78fe6778146f1d7b9871-s1100-c15.jpg\" alt=\"Medical worker in scrubs, sitting in a locker room.\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/03\/10\/gettyimages-200022741-001-687d7d76bb91a42a0fbc78fe6778146f1d7b9871-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div><\/div>\n<\/div>\n<p><span><\/p>\n<p>        Jonathan Kirn\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>The maximum workday for first-year medical residents just got substantially longer. The group that sets rules for training doctors announced Friday it will be scrapping the 16-hour cap on shifts worked by doctors who have just graduated from medical school.<\/p>\n<p>As of July 1, the Accreditation Council for Graduate Medical Education will allow these first-year residents, also known as interns, to work 24 hours without a break \u2014 and sometimes as long as 28, if a particular transition between doctors demands it.<\/p>\n<p>The ACGME is discarding a requirement that was implemented in 2011, arguing that the 16-hour cap simply did not deliver on its promises \u2014 and caused some new problems to boot.<\/p>\n<p><!-- END ID=\"RES519668965\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;The Task Force [review panel] has determined that the hypothesized benefits associated with the changes made to first-year resident scheduled hours in 2011 have not been realized,&#8221; the ACGME <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/acgmecommon.org\/announcement\">notes in its announcement<\/a> of the rule changes, &#8220;and the disruption of team-based care and supervisory systems has had a significant negative impact on the professional education of the first-year resident, and effectiveness of care delivery of the team as a whole.&#8221;<\/p>\n<p>For instance, task force member Dr. Anai Kothari <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.forbes.com\/sites\/brucejapsen\/2017\/03\/10\/medical-residents-can-work-24-hours-straight-accreditor-says\/2\/#2ebb0098245a\">tells Forbes<\/a> the cap would occasionally prevent doctors from seeing a treatment or surgery through from beginning to end. Patients want to know &#8220;you are the doctor taking care of them,&#8221; Kothari says.<\/p>\n<p>&#8220;The long shifts are infrequent, but they are important when needed.&#8221;<\/p>\n<p>The group says its conclusion is based on &#8220;over 4,200 hours formulating the new requirements, including systematically reviewing over 1,000 published articles and extensive input from all stakeholders.&#8221;<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2016\/11\/04\/500554058\/medical-interns-could-work-longer-without-a-break-under-new-rule\">As NPR&#8217;s Rob Stein reported<\/a> when the rule change was proposed in November 2016, the move has its fair share of critics.<\/p>\n<p><!-- END ID=\"RES519662508\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;Study after study shows that sleep-deprived resident physicians are a danger to themselves, their patients and the public,&#8221; Dr. Michael Carome, director of Public Citizen&#8217;s Health Research Group, told Rob. &#8220;It&#8217;s disheartening to see the ACGME cave to pressure from organized medicine and let their misguided wishes trump public health.&#8221;<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/hosted.ap.org\/dynamic\/stories\/U\/US_MED_NEW_DOCS_LONG_HOURS_MAOL-?SITE=AP&amp;SECTION=HOME&amp;TEMPLATE=DEFAULT\">The Associated Press notes<\/a> the American Medical Student Association and the Committee of Interns and Residents also oppose the change.<\/p>\n<p>The long shifts are &#8220;based on a patriarchal hazing system,&#8221; first-year resident Samantha Harrington tells the wire service. She says the underlying message from longtime physicians is: &#8220;I went through it, so therefore you have to go through it too.&#8221;<\/p>\n<p>&#8220;The question of work hour standards appropriately provokes great emotion in both the graduate medical education community and among segments of the general public,&#8221; the ACGME acknowledges in its Friday announcement.<\/p>\n<p>But &#8220;it is important to note that 24 hours is a ceiling, not a floor,&#8221; the group adds. &#8220;Residents in many specialties may never experience a 24-hour clinical work period.&#8221;<\/p>\n<p>While the ACGME is relaxing its restrictions on interns&#8217; shifts, it is maintaining previous regulations in other areas. Residents and fellows still cannot work more than 80 hours in a single week, and they must have at least one day off from clinical experience or education in any seven-day span.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-10392","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=10392"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/10392\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=10392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=10392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=10392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}