How Many Hours Is Enough? An Old Profession Meets a New Generation

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Editorials18 May 2004How Many Hours Is Enough? An Old Profession Meets a New GenerationSteven A. Schroeder, MDSteven A. Schroeder, MDFrom University of California, San Francisco, San Francisco, CA 94143-1211.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-10-200405180-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Sigmund Freud said that the two most important things in life are arbeit (work) and liebe (love)—in that order. Three essays in this issue (1-3) address fundamental themes about work: How hard should one work? What does it mean to be a professional? How can one find meaning in work and still lead a full life?The catalyst for these essays is the 2002 ruling by the Accreditation Council for Graduate Medical Education (ACGME) that restricts residency work hours to less than 80 hours per week—on average—and less than 30 hours of continuous coverage at any one time (4). The ...References1. Charap M. Reducing resident work hours: unproven assumptions and unforeseen outcomes. Ann Intern Med. 2004;140:814-5. LinkGoogle Scholar2. Skeff KM, Ezeji-Okoye S, Pompei P, Rockson S. Benefits of resident work hours regulation. Ann Intern Med. 2004;140:816-7. LinkGoogle Scholar3. Glines ME. The effect of work hour regulations on personal development during residency. Ann Intern Med. 2004;140:818-9. LinkGoogle Scholar4. Accreditation Council for Graduate Medical Education. Resident duty hours. Accessed at www.acgme.org on 1 April 2004. Google Scholar5. Katz MH, Schroeder SA. The sounds of the hospital. Paging patterns in three teaching hospitals. N Engl J Med. 1988;319:1585-9. [PMID: 3200267] CrossrefMedlineGoogle Scholar6. Jolly P. Medical School Tuition and Young Physician Indebtedness. Washington, DC: Association of American Medical Colleges; 2004 [In press]. Google Scholar7. Zuger A. Dissatisfaction with medical practice. N Engl J Med. 2004;350:69-75. [PMID: 14702431] CrossrefMedlineGoogle Scholar8. Richtel M. Young doctors and wish lists: no weekend calls, no beepers. New York Times. 2004;7 January:A1. Google Scholar9. Ferguson N. Why America outpaces Europe. New York Times. 2003;8 June:3. Google Scholar10. Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York: Rugged Land; 2004. Google Scholar11. 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;269:374-8. [PMID: 8418344] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Steven A. Schroeder, MDAffiliations: From University of California, San Francisco, San Francisco, CA 94143-1211.Disclosures: None disclosed.Corresponding Author: Steven A. Schroeder, MD, University of California, San Francisco, 3333 California Street, Box 1211, Laurel Heights 435h, San Francisco, CA 94143-1211; e-mail, [email protected]ucsf.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoReducing Resident Work Hours: Unproven Assumptions and Unforeseen Outcomes Mitchell Charap Benefits of Resident Work Hours Regulation Kelley M. Skeff , Stephen Ezeji-Okoye , Peter Pompei , and Stanley Rockson The Effect of Work Hour Regulations on Personal Development during Residency Melinda E. Glines Residents' Work Hours Gabriella Varallo Bedarida Residents' Work Hours Sarang Kim Residents' Work Hours Timothy Lahey Residents' Work Hours Yungpo Bernard Su and Lydia Kang Residents' Work Hours Ilene M. Rosen , Judy A. Shea , and Lisa M. Bellini Residents' Work Hours Mitchell Charap Metrics Cited byEpidemiology of adverse drug events and medication errors in four nursing homes in Japan: the Japan Adverse Drug Events (JADE) StudyMedication-related Medical Emergency Team activations: a case review study of frequency and preventabilityCurrent State of Machine Learning Based