COMMENTARIES
Fatigue
Physicians’ work hours: desperately seeking evidence
Correspondence to:
Dr S Veasey, University of Pennsylvania, Translational Research Building, Room 2115, 125 South 31st Street, Philadelphia, PA 19104, USA; Veasey@mail.med.upenn.edu
Commentary on the paper by Gander et al (see page 733)
| The first 150 words of the full text of this article appear below. |
Evidence-based medicine is the cornerstone for excellence in healthcare delivery. However, as a group, physicians have been reluctant to advance the necessary science and to examine in depth related science to formulate evidence-based safe work schedules.
A case in point is the history of work hour regulation for physicians in training in the USA. The first statewide attempt to regulate work hours occurred over 20 years ago in response to the death of a young woman in a New York City hospital. The woman’s father was a New York Times reporter and former federal prosecutor, who pressed for criminal prosecution. A grand jury heard the case and concluded that the prolonged work hours of the house staff (junior doctors) caring for the woman contributed, in part, to a medication mistake that resulted in the young woman’s death. An ad hoc advisory committee of prominent physicians, without expertise in sleep
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- Work patterns and fatigue-related risk among junior doctors
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Occup. Environ. Med. 2007 64: 733-738.[Abstract] [Full Text] [PDF]
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