Improvement happens: an interview with Furman McDonald, MD MPH. Interview by Jennifer A. Best.

摘要

In October 2010, the Accreditation Council on Graduate Medical Education (ACGMEj published a long-awaited modification to its 2003 common duty hour standards following an international symposium and intensive task-force review of recent literature on safety, supervision, sleep and competence. Although this recent duty hour policy stopped short of adopting all recommendations of the 2008 Institute of Medicine (IOM) report ("Resident Duty Hours: Enhancing Sleep, Supervision, and Safety"), particularly the 5-h nap following 16 h of continuous duty, the new standards were strongly informed by the report, leaving many training programs scrambling to marshal resources and develop new systems to ensure compliance by the July 1, 2011 implementation deadline.