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The Accreditation Council for Graduate Medical Education (ACGME), the governing body for U.S. residency programs, issued a mandate in 2003 that limits resident duty hours to ≤80 hours weekly and allows for no more than 30 consecutive hours of patient care. This policy has changed the landscape of residency training, particularly inpatient services, dramatically. The exponential growth of hospital medicine has taken place in the face of these changes; nearly 20% of hospitalists work in the academic sector.
Investigators in San Francisco designed a cross-sectional survey to explore the effects of duty-hour restrictions (DHR) on resident teaching time and well-being. Shortly after DHR implementation, 164 internal medicine residents were asked t…