Effect of Work-Hour Regulations on Outcomes

  1. Dena E. Rifkin, MD
  1. From Tufts-New England Medical Center, Boston, MA 02111.

    TO THE EDITOR:

    As a member of the Yale-New Haven Hospital internal medicine housestaff during the study period of Horwitz and colleagues (1), I read their report with great interest. I would add some comments and caveats to the conclusions.

    First, the transition to the “nocturnalist” system was indeed, as suggested in the authors' discussion, supported by tremendous increases …

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