title: Finding the elusive balance between reducing fatigue and enhancing education: perspectives from American residents.
abstract: Duty hour restrictions for residency training were implemented in the United States to improve residents' educational experience and quality of life, as well as to improve patient care and safety; however, these restrictions are by no means problem-free. In this paper, we discuss the positive and negative aspects of duty hour restrictions, briefly highlighting research on the impact of reduced duty hours and the experiences of American residents. We also consider whether certain specialties (e.g., Emergency Medicine, Radiology) may be more amenable than others (e.g., Surgery) to duty hour restrictions. We conclude that feedback from residents is a crucial element that must be considered in any future attempts to strike a balance between reducing fatigue and enhancing education.
authors.forename: John
authors.initials: J
authors.lastname: Hanna
authors.forename: Daniel
authors.initials: D
authors.lastname: Gutteridge
authors.forename: Venu
authors.initials: V
authors.lastname: Kudithipudi
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D004503:Education, Medical, Graduate / Q000458:organization & administration* / Q000592:standards / Q000639:trends; D005221:Fatigue; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration* / Q000592:standards / Q000639:trends; D061214:Patient Safety; D010561:Personnel Staffing and Scheduling / Q000592:standards* / Q000639:trends; D011788:Quality of Life; D014481:United States; D014940:Work Schedule Tolerance