Oh that makes more sense! My partner is safe from cleaning for now then.
Yeah…. I’m definitely going to be applying heavily to states that have laws that limit resident hours to 60-80/wk. Hopefully by then more states will have adopted restrictions with all the research that’s come out showing that 100+ hour weeks lead to more mistakes and put patients at risk.
For what it's worth, resident hour restrictions in terms of consecutive hours on duty and number of hours per week, etc, are not dictated by the states. They were set by ACGME in 2003 with a change in 2011 stating that interns should only be on duty 16 hour consecutively and no more. Resident hours are 80 hours/week AVERAGED over 4 weeks. Medical student hours are 80 hours/week when in clerkships/rotations.
This applies to all accredited programs in the USA and doesn't matter the state.
The Standards
ACGME’s common duty hour standards acknowledge scientific evidence that long hours and sleep loss
have a negative effect on resident performance, learning and well-being. The duty hour standards include:
• An 80-hour weekly limit, averaged over four weeks;
• An adequate rest period, which should consist of 10 hours of rest between duty periods;
• A 24-hour limit on continuous duty, and up to six added hours for continuity of care and education;
• One day in seven free from patient care and educational obligations, averaged over four weeks;
• In-house call no more than once every three nights, averaged over four weeks;
• The option for programs in some specialties to request an increase of up to 8 hours in the weekly
hours, if this benefits resident education, with approval by their sponsoring institution and the
Residency Review Committee (RRC) in the given specialty.
ACGME chose 80-hours as the upper limit to safeguard against the negative effects of chronic sleep loss,
and selected a limit of 24 hours plus up to six hours to address the effects of acute sleep loss, and to allow
for adequate time for patient hand-off and didactic learning.1