title: Residents' perception of duty hour limits through teaching hospital accreditation status-experience in Taiwan.
abstract: Residents' work overload is a rising issue in Taiwan. Duty hours of the residents in the United States have been limited by the Accreditation Council for Graduate Medical Education Common Program Requirements since 2003; similar standards were not implemented in Taiwan until 2013. Taiwanese duty hour standards are the work hour limits adopted as part of the required teaching hospital accreditation status. In January 2015, the Ministry of Health and Welfare conducted a national survey for all house officers in Taiwan. We collected data including those on demographics and perceptions of residents regarding duty hour limits. Most respondents reported positive perceptions of the duty hour standards. They felt that these limits will improve resident education, quality of life, and patient safety. The strong incentive to follow the regulations (through teaching hospital accreditation) could help protect residents (and patients) from unsafe working conditions. However, further studies on the influence of shortened duty hour on professional development are necessary for future improvement.
authors.affiliation: Ministry of Health and Welfare (MOHW), Taipei City, Taiwan; School of Medicine, National Yang-Ming University, Taipei City, Taiwan. Electronic address: joyce12wang@gmail.com.
authors.forename: Tsung-Hsi
authors.initials: TH
authors.lastname: Wang
authors.affiliation: Department of Plastic Surgery, Alpert Medical School of Brown University and Rhode Island Hospital, Providence, RI, USA.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Drolet
authors.affiliation: Ministry of Health and Welfare (MOHW), Taipei City, Taiwan.
authors.forename: Kun-Yu
authors.initials: KY
authors.lastname: Tsai
authors.affiliation: Ministry of Health and Welfare (MOHW), Taipei City, Taiwan.
authors.forename: Yu-Fu
authors.initials: YF
authors.lastname: Liu
mesh_terms: D000068:Accreditation; D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006784:Hospitals, Teaching / Q000592:standards*; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology*; D010465:Perception; D013624:Taiwan
keywords: duty hour; hospital accreditation; residents