Berks County Medical Society Medical Record Summer 2017 - 21

In 1990 the 80-hour weekly limit (average over 4 weeks) was
established. In 2011 ACGME capped 1st-year resident shifts at 16
hours after research came out that fatigue due to working many
hours at a time was leading to medical errors/deaths. In order to
keep duty hours down, many programs opted to work shorter
shifts with more residents working and handing off to each other at
change of shift.
Updated guidelines, which went into effect on July 1, 2017,
include changes based on research which found that increased
frequency of hand-offs is associated with an increased error rate.
The change allows 1st-year residents to work a total of 28-hour shifts
(24 hours for shift and additional 4 hours for transitional activities).
The rest of the guidelines remain the same.
So what does this mean for residents and programs? Each
program will have to decide how to incorporate the new guidelines
into their call coverage/duty hours. One benefit to the new hour
regulations is that fewer residents are necessary to cover weekend
and night shifts which allows for more free time/weekends off. In
addition, the extra time allotted for transitional activities will allow
residents to follow-up on patients they admitted or rounded on
throughout the shift. On the flip side, working more hours in a row
and changing shifts often still causes the same issues as described
above. More research will be done to evaluate whether the change
has positively affected medical errors.
http://www.acgme.org/What-We-Do/Accreditation/ClinicalExperience-and-Education-formerly-Duty-Hours/History-of-DutyHours
Dr. Sachs is a member of the Berks County Medical Society's
Executive Council.

SUMMER 2017

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http://www.kos-spine.com/ http://www.acgme.org/What-We-Do/Accreditation/Clinical-Experience-and-Education-formerly-Duty-Hours/History-of-Duty-Hours http://www.intouchbysah.com/

Table of Contents for the Digital Edition of Berks County Medical Society Medical Record Summer 2017

Berks County Medical Society Medical Record Summer 2017 - 1
Berks County Medical Society Medical Record Summer 2017 - 2
Berks County Medical Society Medical Record Summer 2017 - 3
Berks County Medical Society Medical Record Summer 2017 - 4
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Berks County Medical Society Medical Record Summer 2017 - 36
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