 |
 |
|
Home |
Current Issue |
Past Issues |
In the Clinic |
ACP Journal Club |
CME |
Collections |
Audio/Video |
Mobile |
Subscribe |
Tools |
Help |
ACP Online
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||
1 October 1995 | Volume 123 Issue 7 | Pages 512-517
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.
Author and Article Information
From the University of Wisconsin-Madison Medical School, Madison, Wisconsin. For the current author address, see end of text.
ACADEMIA AND CLINIC
What (If Anything) Is Wrong with Residency Overwork?
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.
Related articles in Annals:
This article has been cited by other articles:
|
|
 |
|
  J. G. Hoop Hidden Ethical Dilemmas in Psychiatric Residency Training: The Psychiatry Resident as Dual Agent Acad Psychiatry, September 1, 2004; 28(3): 183 - 189. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. D. Jones Jr. More Than a Matter of Time Pediatrics, May 1, 2004; 113(5): 1396 - 1398. [Full Text] [PDF]
|
|
|
|
 |
|
 S. H. Chae Is the Match Illegal? N. Engl. J. Med., January 23, 2003; 348(4): 352 - 356. [Full Text] [PDF]
|
|
|
|
 |
|
 V. U. Collier, J. D. McCue, A. Markus, and L. Smith Stress in Medical Residency: Status Quo after a Decade of Reform? Ann Intern Med, March 5, 2002; 136(5): 384 - 390. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. O. Ozuah, D. R. Neuspiel, and S. P. Shelov Trends in Residents' Perceptions of Working Conditions: 1989-1999 Arch Pediatr Adolesc Med, September 1, 2001; 155(9): 1073 - 1074. [Full Text] [PDF]
|
|
|
|
 |
|
 S. D. Goold, B. Williams, and R. M. Arnold Conflicts Regarding Decisions to Limit Treatment: A Differential Diagnosis JAMA, February 16, 2000; 283(7): 909 - 914. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Rockwell, M. Alam, J. J. Whyte, D. P. Beall, S. R. Daugherty, and D. C. Baldwin, Jr Mistreatment and Maladaptations During Medical Internship JAMA, August 26, 1998; 280(8): 699 - 700. [Full Text] [PDF]
|
|
|
|
|
|
E. J. Volpintesta, R. Matz, and M. Linzer On Being a Physician: Choices, Sacrifice, and Balance JAMA, May 27, 1998; 279(20): 1609 - 1609. [Full Text] [PDF]
|
|
|
|
|
|
E. R. Braver, J. F. Pantula, S. P. Baker, P. Barach, G. B. David, E. Richter, D. A. Benaron, M. J. Green, M. M. Mitler, and C. D. Wylie The Sleep of Long-Haul Truck Drivers N. Engl. J. Med., February 5, 1998; 338(6): 389 - 391. [Full Text]
|
|
Article
