0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

What (If Anything) Is Wrong with Residency Overwork?

Michael J. Green, MD, MS
[+] Article and Author Information

From the University of Wisconsin-Madison Medical School, Madison, Wisconsin. For the current author address, see end of text. Acknowledgments: The author thanks Robert Arnold, Alta Charo, Benjamin Horowitz, Norman Jensen, Mark Linzer, Judith Van Kirk, Daniel Wikler, and particularly, Norman Fost, for their thoughtful comments and critiques. Requests for Reprints: Michael J. Green, MD, MS, University of Wisconsin Medical School, Section of General Internal Medicine and Program in Medical Ethics, J5/210 Clinical Science Center, 600 Highland Avenue, Madison, WI 53792-2454. Current Author Address: Dr. Green: University of Wisconsin Medical School, Section of General Internal Medicine and Program in Medical Ethics, J5/210 Clinical Science Center, 600 Highland Avenue. Madison, WI 53792-2454.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1995;123(7):512-517. doi:10.7326/0003-4819-123-7-199510010-00007
Text Size: A A A

Long work hours during residency are a time-honored tradition. Efforts have recently been made to shorten work hours. This paper examines the main arguments supporting reform: that sleep deprivation is harmful to patients and residents and that it is exploitative. Because the data on the harms and benefits are mixed and because exploitation is difficult to prove, a stronger argument for reducing work hours is an ethical one: that overwork interferes with the development of professional values and attitudes that are an essential part of the moral curriculum of residency. Providing a climate that promotes moral growth during training is an important curricular objective that may be better achieved by shortening work hours, providing better resident supervision, and using substitute workers for some of the noneducational tasks of residency.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)