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Med Educ. 2006 Jul;40(7):662-6.

Baseline duty hours recorded with time-cards: a pre-regulation study of internal medicine residents.

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1
PRIME Program, Department of Medicine, University of California, San Francisco, California 94143-111, USA.

Abstract

OBJECTIVE:

The acquisition of data on resident duty hours has been largely dependent on self-report surveys collected in the surgical literature. We sought to implement and describe a simple method for monitoring internal medicine resident duty hours by using time-cards.

DESIGN:

In 2002, internal medicine residents on a 3-site academic programme were asked to track their duty hours using time-cards prior to the implementation of system changes according to duty hours reform.

SETTING:

An academic internal medicine residency programme in the USA.

RESULTS:

Of participating residents (n = 41), 93% worked at least 1 shift longer than 30 hours, 29% worked an average of more than 80 hours per week, and 56% had less than 1 day off per week. No residents were on call more than once every third day.

CONCLUSIONS:

This study describes the findings and challenges of using time-cards to track duty hours, and shows that many internal medicine residents on this programme were, before implementation of duty hours reforms, in violation of duty hours regulations.

[Indexed for MEDLINE]

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