Can we get just a little sleep as a first-year resident?
Resident work hour restrictions, and the effects of lack of sleep on performance and patient care, have been disputed among clinicians and consumer advocacy groups for many years. The debate has once again emerged publicly, with a recent proposal from the Accreditation Council for Graduate Medical Education (ACGME) to phase out a 2011 rule capping first-year resident (PGY-1) shifts at 16 hours total. As part of a larger set of proposals to be implemented in the 2017-2018 academic year, an ACGME task force recommended that first-year physicians instead subscribe to the same structure as other residents, with shifts of up to 28 hours, including 4 hours to manage transitions in care, and a maximum of 80 hours a week averaged over 4 weeks. http://www.medscape.com/viewarticle/872349?src=wnl_tp10f_170126_mscpedit&impID=1278023