ArticleThe American journal of medicine2020
The Association Between Resident Physician Work-Hour Regulations and Physician Safety and Health.
Article in The American journal of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of shortening shifts of physicians during their residency on patients and physicians : A systematic review and meta-analysis.Israel journal of health policy research · 2025Pooled it
- Safety incidents associated with extended working hours. A systematic review and meta-analysis.Scandinavian journal of work, environment & health · 2021Pooled it
- Determining the Mental Health of Tehran University of Medical Sciences Residents, According to the General Health Questionnaire.Medical journal of the Islamic Republic of Iran · 2026Article
- Analysis of District Residency Program in Surgical Specialties at a University Teaching Hospital.Advances in medical education and practice · 2026Article
- Evaluation of Pharmacy Resident Burnout Based on Weekend Residency Staffing Requirements: A Pilot Study.Pharmacy (Basel, Switzerland) · 2025Article
- Supervising physicians' perceptions on physician work-hour regulations in Japan: a nationwide cross-sectional study.BMC medical education · 2025Article
- Accreditation Council for Graduate Medical Education Work Hour Requirements: A Review of Recent Evidence.Journal of graduate medical education · 2025Article
- Medical Students on Their Internal Medicine Clerkship Experience Short Sleep Duration.ATS scholar · 2025Article
- Quality of Life and Working Conditions of Plastic Surgeons and Trainees: A National Survey.International journal of environmental research and public health · 2025Article
- Enhancing professional development in medical residency through a shadow curriculum: an evaluation based on Kirkpatrick model.BMC research notes · 2025Article
- Family Medicine Residency Faculty: Inpatient Staffing, Satisfaction, and Turnover.Family medicine · 2025Article
- Resident Physician Intentions Regarding Unionization.JAMA network open · 2025Article
- Initial self-reported data on sleep and burnout in pulmonary, critical care and sleep medicine: an initiative from the Assembly on Sleep and Respiratory Neurobiology of the American Thoracic Society.Respiratory research · 2025Article
- Failing Safely: Autonomy and Identity Formation in Medical Training.ATS scholar · 2025Article
- Formal guidelines from an expert panel: intensive care unit medical staffing, organisation and working hours to improve quality of life at work in France.Annals of intensive care · 2025Article
- Optimal Working Hours in the 2024 Physician Work Reform: Insights from a Residency Program Director.Advances in medical education and practice · 2025Article
- The relationship between person-vocation fit and burnout among resident physicians: A single-center cross-sectional survey.PloS one · 2025Article
- Review
- Comprehensive Analysis of COVID-19 Symptomatology among Healthcare Workers: Insights from a Tertiary Hospital.Maedica · 2024Article
- Public opinion of resident physician work hours in 2022.Sleep health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundIn 2011, the Accreditation Council for Graduate Medical Education (ACGME) instituted a 16-h limit on consecutive hours for first-year resident physicians. We sought to examine the effect of these work-hour regulations on physician safety.
methodsAll medical students matched to a US residency program from 2002 to 2007 and 2014 to 2017 were invited to participate in prospective cohort studies. Each month participants reported hours of work, extended duration shifts, and adverse safety outcomes, including motor vehicle crashes, percutaneous injuries, and attentional failures. The incidence of each outcome was compared before and after the 2011 ACGME work-hour limit. Hypotheses were tested using generalized linear models adjusted for potential confounders.
resultsOf all first-year resident physicians nationwide, 13% participated in the study, with 80,266 monthly reports completed by 15,276 first-year resident physicians. Following implementation of the 16-h 2011 ACGME work-hour limit, the mean number of extended duration (≥24-h) shifts per month decreased from 3.9 to 0.2. The risk of motor vehicle crash decreased 24% (relative risk [RR] 0.76; 0.67-0.85), percutaneous injury risk decreased more than 40% (relative risk 0.54; 0.48-0.61), and the rate of attentional failures was reduced 18% (incidence rate ratio [IRR] 0.82; 0.78-0.86). Extended duration shifts and prolonged weekly work hours were associated with an increased risk of adverse safety outcomes independent of cohort.
conclusionsThe 2011 ACGME work-hour limit was associated with meaningful improvements in physician safety and health. Surveillance is needed to monitor the ongoing impact of work hours on physician safety, health, and well-being.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.