Surgical Training and Duty-Hour Limits: An Oxymoron or an Idea whose Time has Come?

ACGME Web site, accessed June 13, 2005: www.acgme.org.

Wilson J.J.F. Is sleep the new vital sign? Ann Intern Med 2005; 142: 877–80.

Dawson D. , Reid K. Fatigue, alcohol and performance impairment. Nature 1997; 388: 235.

Lockley S.W. , Cronin J.W. , Evans E.E. Effect of reducing interns’ weekly work hours on sleep and attentional failures. N Engl J Med 2004; 351: 1829–37.

Barger L.K. , Cade B.E. , Ayas N.T. Extended work shifts and the risk of motor vehicle crashes among interns. N Engl J Med 2005; 352: 125–34.

Eastridge B.J. , Hamilton E.C. , O'Keefe G.E. Effect of sleep deprivation on the performance of simulated laparascopic surgical skill. Am J Surg 2003; 186: 169–74.

Barden C.B. , Specht M.C. , McCarter M.D. Effects of limited work hours on surgical training. J Am Coll Surg 2002; 194: 531–8.

Reiter E.R. , Wong D.R. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope 2005; 115: 773–9.

Mendoza K.A. , Britt L.D. Resident operative experience during the transition to work-hour reform. Arch Surg 2005; 140: 137–45.

Hassett J.M. , Nawotniak R. , Cummiskey D. Maintaining outcomes in a surgical residency while complying with resident working hour regulations. Surgery 2002; 132: 635–41.

Jarman B.T. , Miller M.R. , Brown R.S. The 80-hour work week: Will we have less-experienced graduating surgeons? Curr Surg 2004; 61: 612–15.

Landrigan C.P. , Rothschild J.M. , Cronin J.W. Effect of reducing interns’ work hours on serious medical errors in intensive care units. N Engl J Med 2004; 351: 1838–48.