Abstract

http://ssrn.com/abstract=2254349
 
 

References (23)



 


 



Making Residency Work Hour Rules Work


I. Glenn Cohen


Harvard Law School

Charles A. Czeisler


Harvard University - Brigham and Women's Hospital

Christopher P. Landrigan


Harvard University - Brigham and Women's Hospital

April 20, 2013

Journal of Law, Medicine and Ethics, Vol. 41, No. 1, 2013

Abstract:     
In July 2011, the ACGME implemented new rules that limit interns to 16 hours of work in a row, but continue to allow 2nd-year and higher resident physicians to work for up to 28 consecutive hours. Whether the ACGME's 2011 work hour limits went too far or did not go far enough has been hotly debated. In this article, we do not seek to re-open the debate about whether these standards get matters exactly right. Instead, we wish to address the issue of effective enforcement. That is, now that new work hour limits have been established, and given that the ACGME has been unable to enforce work hour limits effectively on its own, what is the best way to make sure the new limits are followed in order to reduce harm to residents, patients, and others due to sleep-deprived residents? We focus on three possible national approaches to the problem, one rooted in funding, one rooted in disclosure, and one rooted in tort law. The definitive version of this article can be downloaded at Wiley-Blackwell website for this journal.

Number of Pages in PDF File: 5

Keywords: Residency, Work Hours, Regulation, Sleep, Malpractice, Spending Clause, ACGME, Funding, Hospital

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Date posted: April 21, 2013  

Suggested Citation

Cohen, I. Glenn and Czeisler, Charles A. and Landrigan, Christopher P., Making Residency Work Hour Rules Work (April 20, 2013). Journal of Law, Medicine and Ethics, Vol. 41, No. 1, 2013. Available at SSRN: http://ssrn.com/abstract=2254349

Contact Information

I. Glenn Cohen (Contact Author)
Harvard Law School ( email )
1525 Massachusetts Avenue
Griswold Hall 503
Cambridge, 02138
United States
Charles A. Czeisler
Harvard University - Brigham and Women's Hospital ( email )
Boston, MA 02115
United States
Christopher P. Landrigan
Harvard University - Brigham and Women's Hospital ( email )
Boston, MA 02115
United States
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